Individual provider · Type 1 NPI

Warren K. Kennedy, PA-C

Medical Physician Assistant · Great Lakes, IL

NPI number 1083898290 Active

About NPI 1083898290

Warren K. Kennedy, PA-C's National Provider Identifier is 1083898290, issued on Dec 24, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Great Lakes, IL. The record was last updated on Dec 24, 2007.