Search › Indiana › 363L00000X
Marie Kennedy
NPI 1851899140 · on the registry since 2018 · sole proprietor
Practice
- Address
- 611 E Douglas Rd Ste 208
Mishawaka, IN 46545 - Phone
- (574) 335-6000
- Fax
- (574) 335-0738
- Organisation at this address
- The Centre Pc
The Centre Llc
Msm Holdco, Llc
Labcorp Indiana Inc
Midwest Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 149
Additional practice sites
- 1668 S Us Highway 421, Westville, IN
- 3500 Franciscan Way Ste 400, Michigan City, IN
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LG0600X
363LG0600X - Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana