John Kennedy, MD

Individual Deactivated
NPI 1780665448
General Practice Physician Marion, IN

John Kennedy, MD is a general practice physician practicing in Marion, IN. The NPI was issued on November 9, 2005, and the record was last updated in NPPES on August 9, 2026. The record lists 2 taxonomy codes. This NPI was deactivated on September 24, 2026.

Taxonomies and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X 01022780A (IN)
Family Medicine Physician 207Q00000X 01022780 (IN)

Practice location

1614 N Baldwin Ave
Marion, IN 46952-1437
Phone: (765) 664-9000

Nearby providers with the same primary taxonomy

Record history

Name on record
John Wayne Kennedy
Status
Deactivated
NPI issued
Last updated in NPPES
Deactivated

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