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Contact Information

SANDRA K KENNEDY, NP
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN46202-5109
 Phone: 317-948-7128
 Fax: 317-944-3442
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics, Critical Care

363LP0222X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SANDRA K KENNEDY · (Female)

NPI # 1144548397
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 05/12/2010
Last updated 06/02/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 71003101A
  • IN Medicaid 201079620
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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