{"npi":"1003299082","type":"NPI-1","status":"active","name":{"display":"Mary Katherine Kenney PA","other":[],"first":"MARY KATHERINE","last":"KENNEY","credential":"PA"},"specialty":{"primary_taxonomy":"363AM0700X","primary_taxonomy_description":"Medical Physician Assistant","slug":"medical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AM0700X","description":"Medical Physician Assistant","primary":true,"state":"IL","license":"085005526"}]},"addresses":[{"purpose":"LOCATION","street_1":"1800 E LAKE SHORE DR","city":"DECATUR","state":"IL","postal_code":"625213810","country_code":"US","phone":"2174642966"},{"purpose":"MAILING","street_1":"3131 N WATER ST","city":"DECATUR","state":"IL","postal_code":"625262472","country_code":"US","phone":"2178765320","fax":"2178765865"}],"license":{"state":"IL","number":"085005526"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20151012002208","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"IL","pac_id":"7517276652"}]},"enumeration_date":"2015-07-08","last_updated":"2023-12-13","_meta":{"source":"NPPES","snapshot_date":"2023-12-13","doc_url":"https://findmynpi.com/api"}}