SearchIndiana376J00000X

William Kennebrew, OWNER

NPI 1427984582 · on the registry since 2026

Practice

Address
8019 Glenway Dr Apt 208
Indianapolis, IN 46236
Phone
(317) 679-4112

Registry record

Primary taxonomy
376J00000X
376J00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana