| Doctor Name: | JUDITH ANN KENNEY |
| NPI Number: | 1205026234 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN,RNFA |
| License Number: | |
| Business Practice Address: | 30 E 15th St Suite 406 Chicago Heights, IL - 604113459 |
| Business Phone Number: | 7087553352 |
| Business Fax Number: | |
| Mailing Address: | 20201 Crawford Ave, OLYMPIA FIELDS |
| State: | IL |
| Postal Code: | 604611010 |
| Phone Number: | 7087474000 |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2007 |
| NPI Last Update Date: | 07/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |