DR. AGNES KENNY MD
NPI 1427013952
General Practice in Peru, IN

Q: What is Agnes Kenny's NPI number?

The NPI number for Agnes Kenny is 1427013952. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Q: What is Agnes Kenny's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Agnes Kenny was last updated on August 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 18, 2006

1694 W LOGANSPORT RD, PERU, IN 46970(765) 472-2812(765) 472-2970 Get Directions Write a Review

NPPES record last updated: August 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Agnes Kenny Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AGNES KENNY MD (NPI 1427013952) is an individual general practice provider in Peru, Indiana, licensed in Indiana (01031072A) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1427013952

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDR. AGNES KENNYCredential: MD

Location Address1694 W LOGANSPORT RDPeru, IN 46970-3149

Mailing Address1694 W Logansport RdPeru, IN 46970-3149 · (765) 472-2812 · Fax (765) 472-2970

Phone(765) 472-2812

Fax(765) 472-2970

Sole ProprietorNo

Enumeration DateApril 18, 2006

Last NPPES UpdateAugust 15, 2016

✔ NPI 1427013952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in IN · 01031072A

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1694 W LOGANSPORT RD, Peru, IN 46970

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Other Identifiers 6

Medicare PIN221480EIN

Medicare UPIND69743IN

OtherP01011306IN · Railroad

Medicaid1002555200IN

Other000000752605IN · Anthem

Medicare OSCAR/certificationM400063941IN

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONICA LYNN MCMAIN NP

Nurse Practitioner

1694 W LOGANSPORT RD
PERU, IN 46970

Miami County (765) 472-2519

MS. SHARON COOLEY NP

Nurse Practitioner

1694 W LOGANSPORT RD
PERU, IN 46970

Miami County (765) 472-2812

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agnes Kenny's NPI number?

The NPI number for Agnes Kenny is 1427013952. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Agnes Kenny located?

Agnes Kenny practices at 1694 W Logansport Rd, Peru, IN 46970. The listed phone number is (765) 472-2812.

What is Agnes Kenny's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Agnes Kenny was last updated on August 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.