| Kennedy Family Medicine Llc | |
|
1153 W 15th St Auburn IN 46706-2061 | |
| (260) 222-1181 | |
| (260) 270-2800 |
| Full Name | Kennedy Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1153 W 15th St, Auburn, Indiana |
| Authorized Official Name and Position | Crystal N Kennedy (OWNER OPERATOR) |
| Authorized Official Contact | 2602221181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Family Medicine Llc 1153 W 15th St Auburn IN 46706-2061 Ph: (260) 222-1181 | Kennedy Family Medicine Llc 1153 W 15th St Auburn IN 46706-2061 Ph: (260) 222-1181 |
| NPI Number | 1487415170 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 01/23/2024 |
| Medicare PECOS PAC ID | 1254777881 |
|---|---|
| Medicare Enrollment ID | O20240306001078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487415170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Crystal Nicole Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902267057 PECOS PAC ID: 1850699752 Enrollment ID: I20160408001611 |
Dekalb Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1314 E 7th St, Suite 201, Auburn, IN 46706 Phone: 260-927-0400 Fax: 260-927-0440 | |
Richard A. Horstmeyer M.d., Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 S Main St, Auburn, IN 46706 Phone: 260-927-1266 Fax: 260-927-1724 | |
Auburn Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1306 E 7th St, Suite A, Auburn, IN 46706 Phone: 260-925-1255 Fax: 260-925-1256 | |
Armstrong Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 E 7th St Ste G, Auburn, IN 46706 Phone: 260-927-0400 Fax: 260-927-0440 | |
Dekalb Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1306 E 7th St, Suite A, Auburn, IN 46706 Phone: 260-925-1255 Fax: 260-925-1256 | |
Dekalb Health Medical Group-family Practice Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1314 E 7th St, Suite 101, Auburn, IN 46706 Phone: 260-925-0403 Fax: 260-925-9545 | |
Dekalb Medical Services-adult Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 E 7th St, F, Auburn, IN 46706 Phone: 260-925-4051 Fax: 260-925-9278 |