Dr MIRANDA J KENNEDY is a female medical professional, specializing in Nurse Practitioner. She graduated in 2015.
IN HOME MEDICAL GROUP LLC
2222 E STATE ST
SUITE 209
ROCKFORD
IL
611041572
Tel: 8159888500
| Npi | 1902266992 |
| Pac Id | 9234437732 |
| Professional Enrollment Id | I20160418000717 |
| Last Name | KENNEDY |
| First Name | MIRANDA |
| Middle Name | J |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | IN HOME MEDICAL GROUP LLC |
| Group Practice Pac Id | 3779612395 |
| Number Of Group Practice Members | 42 |
| Line 1 Street Address | 2222 E STATE ST |
| Line 2 Street Address | SUITE 209 |
| Marker Of Address Line 2 Suppression | |
| City | ROCKFORD |
| State | IL |
| Zip Code | 611041572 |
| Phone Number | 8159888500 |
| Hospital Affiliation Ccn 1 | 140110 |
| Hospital Affiliation Lbn 1 | OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR |
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| Professional Accepts Medicare Assignment | Y |
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