Whalio Doctors

NPI 1427013952

Agnes Kenny, MD

Practitioner General Practice Physician Peru, IN

Practice location

Address
1694 W Logansport Rd, Peru, IN 46970-3149
Phone
(765) 472-2812
Fax
(765) 472-2970

Registered specialties

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 01031072A (IN)

Registry record

NPI
1427013952
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Apr 2006
Record last updated
15 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.