DR. MARY KATHRYN KENNING (NPI# 1043660517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043660517 |
| Entity Type | Individual |
| Full Name | DR. MARY KATHRYN KENNING |
| Credential | PH.D. |
| Practice Address |
5100 Eden Ave Suite 320 Edina MN 55436-2337 |
| Practice Telephone | 9529299934 |
| Practice Fax Number | 6128698872 |
| Mailing Telephone | 9529299934 |
| Mailing Fax Number | 6128698872 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
LP 0886 | MN | Behavioral Health & Social Service Providers |
| Street Address |
5100 EDEN AVE SUITE 320 |
| City | EDINA |
| State | MN |
| Zip Code | 55436-2337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992794028 | Joseph Shama | Dentist | 5100 Eden Ave, Edina, MN 55436-2337 | 2005-10-20 |
| 1407217144 | Fabulous Families | Marriage & Family Therapist | 5100 Eden Ave, Suite 102-a, Edina, MN 55436-2337 | 2016-03-08 |
| 1538527262 | Larson Individual and Family Therapy, LLC | Social Worker | 5100 Eden Ave, Suite 310, Edina, MN 55436-2337 | 2016-02-09 |
| 1003136003 | Steven T Maroney | Dentist | 5100 Eden Ave, #209, Edina, MN 55436-2337 | 2010-06-02 |
| 1962646422 | Alejandro Rodriguez Kovacs | Dentist | 5100 Eden Ave, Ste 209, Edina, MN 55436-2337 | 2009-04-28 |
| 1184741472 | Linda Marie Pavic | Social Worker | 5100 Eden Ave, 316, Edina, MN 55436-2337 | 2007-03-23 |
| 1710054325 | Jan Schwartz | Psychologist | 5100 Eden Ave, Suite 109, Edina, MN 55436-2337 | 2006-11-29 |
| 1205868635 | Ellen Chazdon | Psychologist | 5100 Eden Ave, Suite 117, Edina, MN 55436-2337 | 2006-07-07 |
| 1861472276 | Matthew Ronald Dowling | Social Worker | 5100 Eden Ave, Ste. 108, Edina, MN 55436 | 2006-01-20 |
| 1033109061 | Robert Luther Bodin | Dentist | 5100 Eden Ave, Edina, MN 55436-2337 | 2005-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326697277 | Nancy L. Dahlien | Technician | 5825 Tracy Avenue, Edina, MN 55436 | 2019-09-04 |
| 1194232033 | Kathryn Lagrave Reaney | Social Worker | 5050 Lincoln Dr Ste 350, Edina, MN 55436 | 2017-12-31 |
| 1417403296 | Lori Walker | Marriage & Family Therapist | 5780 Lincoln Drive, Suite 108, Edina, MN 55436 | 2016-08-31 |
| 1417374729 | Alisha Englund | Nurse Practitioner | 5901 Lincoln Drive, Cbc-ehs-2, Edina, MN 55436 | 2014-03-25 |
| 1669894887 | Orthodontic Care Specialists, Pllc | Dentist | 4980 W. 77th St., Edina, MN 55436 | 2014-01-07 |
| 1184976920 | Meisa Interpreting & Translation Services LLC. | Case Management | 5656 Lincoln Dr, Edina, MN 55436 | 2012-10-03 |
| 1730466996 | Gina Louise Smith Hughes | Dentist | 5101 Vernon Avenue South, Suite 1 B, Edina, MN 55436 | 2011-11-15 |
| 1669642864 | Diagnostic Imaging | Clinic/Center | 5021 Vernon Ave So, Suite 300, Edina, MN 55436 | 2008-03-04 |
| 1821266529 | Proreads | Clinic/Center | 5021 Vernon Ave S, Suite 300, Edina, MN 55436 | 2008-02-15 |
| 1386729978 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 5100 William Avenue, Edina, MN 55436 | 2006-10-25 |
| Find all providers in zip 55436 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306479316 | Brie Pileggi-valleen | Psychologist | 413 Brandywine Dr, Burnsville, MN 55337-4023 | 2020-02-18 |
| 1326483843 | Franco Peric | Psychologist | 230 W Superior St Ste 459, Duluth, MN 55802-1916 | 2013-05-10 |
| 1083961635 | National Initiatives for Healthy Youth | Psychologist | 7948 Quail Ave N, Brooklyn Park, MN 55443-2423 | 2012-08-13 |
| 1407023591 | Kelly Wilson | Psychologist | 13875 Highway 13 S, Suite 275, Savage, MN 55378-2136 | 2008-05-08 |
| 1043481658 | Edmund Edward Nadolny | Psychologist | 1000 Willmar Ave Sw, Behavioral Forensic Services, Willmar, MN 56201-3067 | 2008-03-23 |
| 1093859332 | Associated Counseling Services, Pllc | Psychologist | 2625 Edgerton St, Little Canada, MN 55117-1620 | 2007-02-19 |
| 1124643408 | Adam Gierok | Psychologist | 1516 W Lake St Ste 110, Minneapolis, MN 55408-2554 | 2020-06-11 |
| 1316587967 | Lauren Reed | Psychologist | 8640 Eagle Creek Cir, Savage, MN 55378-4400 | 2020-01-12 |
| 1598328155 | Superior Forensic Consulting | Psychologist | 230 W Superior St Ste 459, Duluth, MN 55802-1916 | 2019-04-19 |
| 1376071316 | Alexander G Kovic | Psychologist | 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000 | 2017-06-02 |
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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.