KATHRYN IRENE KENNELLY (NPI# 1013971258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013971258 |
| Entity Type | Individual |
| Full Name | KATHRYN IRENE KENNELLY |
| Other Name | KATHRYN IRENE CAIN |
| Credential | NP |
| Practice Address |
617 E 16th St Plano TX 75074-5726 |
| Practice Telephone | 9724238110 |
| Practice Fax Number | 9724231699 |
| Mailing Telephone | 9724238110 |
| Mailing Fax Number | 9724231699 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2014-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F0804014 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 169741902 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437790755 | Kathryn Kennelly | Occupational Therapist | 1505 N Alma School Rd Ste 2, Chandler, AZ 85224-2900 | 2019-10-08 |
| Street Address |
617 E 16TH ST |
| City | PLANO |
| State | TX |
| Zip Code | 75074-5726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353818 | Legacy Heights Pharmacy LLC | Pharmacy | 617 E 16th St, Plano, TX 75074-5726 | 2019-02-26 |
| 1538462627 | Samaritan Health Care | Nurse Practitioner | 617 E 16th St, Plano, TX 75074-5726 | 2010-12-10 |
| 1972568665 | Peggy Jo Ostrander | Nurse Practitioner | 617 E 16th St, Plano, TX 75074-5726 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003433764 | All Meds Rx | Pharmacy | 2520 Avenue K, Suite 600, Suite 600, Plano, TX 75074 | 2020-06-29 |
| 1457985582 | Neighborhood Portable X-ray Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K Suite 109, Plano, TX 75074 | 2020-02-27 |
| 1063044113 | Q Day Walk In Clinic and Spa, LLC | Clinic/Center | 3560 East Park Blvd., Plano, TX 75074 | 2020-02-06 |
| 1891326765 | Kelly Joe Stanley | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6901 Avenue K, 109, Plano, TX 75074 | 2020-01-30 |
| 1568016137 | Virtex Assist, Pllc | Physician Assistant | 101 E Park Blvd Suite 600, Plano, TX 75074 | 2019-07-31 |
| 1154804128 | Norte Service Providers LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2917 Duchess Trail, Plano, TX 75074 | 2018-09-14 |
| 1386124428 | Jakayla Nekelle Price | Occupational Therapist | 3612 Kite Landing Ln., Plano, TX 75074 | 2018-08-17 |
| 1568948834 | Sarah Lindsey Binion | Counselor | 101 East Park Blvd., Suite 600, Plano, TX 75074 | 2018-07-19 |
| 1659865327 | Tim Ford | Technician, Other | 6829 Ave K, Suite 105, Plano, TX 75074 | 2018-06-18 |
| 1043708019 | Oak Point Surgical Suites LLC | Clinic/Center | 2201 K Ave Ste B-100, Plano, TX 75074 | 2018-04-25 |
| Find all providers in zip 75074 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081244 | Congling Wang | Nurse Practitioner | 400 Maplelawn Dr Ste 100, Plano, TX 75075-5743 | 2020-10-26 |
| 1457958712 | Evelyn C.k. Maangi | Nurse Practitioner | 9428 Patagonia Ln, Plano, TX 75025-4594 | 2020-10-08 |
| 1609487222 | Melissa Garcia | Nurse Practitioner | 1550 W Plano Pkwy Apt 1118, Plano, TX 75075-8671 | 2020-08-17 |
| 1538779533 | Karissa Janda | Nurse Practitioner | 3908 Legner St, Plano, IL 60545-1397 | 2020-08-04 |
| 1689290660 | Kelsey Perry | Nurse Practitioner | 5717 Legacy Dr Ste 170, Plano, TX 75024-3813 | 2020-06-24 |
| 1821622259 | Dinah M. Ogeto | Nurse Practitioner | 7117 Sugarplum Dr, Plano, TX 75074-2058 | 2020-02-25 |
| 1285264937 | Graciella Martinez | Nurse Practitioner | 5425 W Spring Creek Pkwy Ste 210, Plano, TX 75024-4241 | 2020-01-22 |
| 1083253587 | Rachel Aldis-krengel | Nurse Practitioner | 807 Cole Ct, Plano, IL 60545-9815 | 2019-12-31 |
| 1932740982 | Nitas Duru Oha | Nurse Practitioner | 555 Republic Dr Fl 2, Plano, TX 75074-5481 | 2019-10-01 |
| 1306499157 | Kristin Joo Eun Kim | Nurse Practitioner | 3108 Midway Rd Ste 105, Plano, TX 75093-8470 | 2019-07-22 |
| Find all providers in PLANO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.