Judith L Kennedy in Fort Wayne - Obstetrics & Gynecology

Judith L Kennedy - NPI 1790963494

Judith L Kennedy is a Obstetrics & Gynecology in Fort Wayne, Indiana. Judith L Kennedy practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Judith L Kennedy is 1790963494. The last update date is 2023-04-04.

Judith L Kennedy's current location address is 11123 Parkview Plaza Dr., Fort Wayne, Indiana. You can contact this provider via phone number 2604256650 and fax number 2604256649. The mailing address for Judith L Kennedy is 11123 Parkview Plaza Dr., Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Judith L Kennedy
Address 11123 Parkview Plaza Dr., Fort Wayne, Indiana
Phone Number 2604256650
Fax Number 2604256649
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1790963494
Provider Enumeration Date 2008-02-05
Last Updated Date 2023-04-04

Provider Mailing Address Detail

Address 11123 Parkview Plaza Dr.
City Fort Wayne
State Indiana (IN)
Post Code 46845
Phone Number 2604256650
Fax Number 2604256649

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No 01064765B
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200947960 IN --
3013287 IN OH MEDICAID
P00907654 IN R.R. MEDICARE
620977 IN ANTHEM

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FAQs about Judith L Kennedy

What is the unique 10-digit identifier code assigned to Judith L Kennedy by the Centers for Medicare & Medicaid Services?

The Judith L Kennedy has been issued the NPI (National Provider Identifier) 1790963494 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Judith L Kennedy's facilities are situated?

The facilities of Judith L Kennedy are physically located at the following address: 11123 Parkview Plaza Dr., Fort Wayne, IN, 46845.

What is Judith L Kennedy's area of expertise and its corresponding taxonomy classification?

The Judith L Kennedy's field of specialization is Obstetrics & Gynecology, and it falls under the taxonomy code 207V00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Judith L Kennedy receive the assignment of its 1790963494 from the Centers for Medicare & Medicaid Services?

The Judith L Kennedy was issued its 1790963494 by the Centers for Medicare & Medicaid Services on 2008-02-05.

When was the information related to Judith L Kennedy most recently updated or refreshed?

The details pertaining to the Judith L Kennedy, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-04-04.

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