| Doctor Name: | DR. AGNES KENNY |
| NPI Number: | 1427013952 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 01031072A |
| Business Practice Address: | 3400 E Market St Logansport, IN - 469472295 |
| Business Phone Number: | 5747229633 |
| Business Fax Number: | 5747225987 |
| Mailing Address: | 3400 E Market St, LOGANSPORT |
| State: | IN |
| Postal Code: | 469472295 |
| Phone Number: | 5747229633 |
| Fax Number: | 5747225987 |
| NPI Enumeration Date: | 04/18/2006 |
| NPI Last Update Date: | 10/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01031072A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |