Female

Jane E. Kennedy MD

Full Name

Jane E Kennedy MD

NPI Number

1447350848

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/25/2006

Specialties

(Taxonomies)

Code

207RG0100X
207R00000X

Primary Taxonomy

No
No

Licenses

State

Wisconsin

License Number

30066

Contact
Information

Purpose

Mailing
Location

Address

1000 N OAK AVE
1000 N OAK AVE

City

Marshfield
Marshfield

State

WI
WI

Postal Code

54449-5777
54449-5777

Country

US
US

Telephone Number

N/A
(715) 221-7833

Identifiers

Identifier

31515400

Identifier State

WI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address