Mary Katherine Kenney, PA

Individual Active
NPI 1003299082
Medical Physician Assistant Decatur, IL

Mary Katherine Kenney, PA holds NPI 1003299082, with a primary taxonomy of medical physician assistant and a practice location in Decatur, IL. The number was issued on July 8, 2015 and the NPPES record was last updated on December 13, 2023. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X 085005526 (IL)

Practice locations

1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone: (217) 464-2966
3131 N Water St
Decatur, IL 62526-2472
Phone: (217) 876-5320

Local context

Active NPPES records list 8 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 687 in Illinois and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mary Katherine Kenney
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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