Individual provider · Type 1 NPI

Mary Katherine Kenney, PA

Medical Physician Assistant · Decatur, IL

NPI number 1003299082 Active

Practice location

1800 E Lake Shore Dr
Decatur, IL 62521-3810

Call (217) 464-2966 Map

Mailing address

3131 N Water St
Decatur, IL 62526-2472

Other practice locations

  • 3131 N Water St, Decatur, IL 62526-2472 · (217) 876-5320

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085005526 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1003299082

Mary Katherine Kenney, PA's National Provider Identifier is 1003299082, issued on Jul 8, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Decatur, IL. The record was last updated on Dec 13, 2023.