STEPHEN KENNEDY DO LLC (NPI# 1114115045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114115045 |
| Entity Type | Organization |
| Organization Name | STEPHEN KENNEDY DO LLC |
| Practice Address |
1415 Lincoln Way W Suite O Osceola IN 46561-2062 |
| Practice Telephone | 5746746499 |
| Practice Fax Number | 5746746490 |
| Mailing Telephone | 5746746499 |
| Mailing Fax Number | 5746746490 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2008-04-10 |
| Authorized Official Name | DR. STEPHEN D KENNEDY (PRESIDENT) |
| Authorized Official Telephone | 5742554733 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 02001650A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
1415 LINCOLN WAY W SUITE O |
| City | OSCEOLA |
| State | IN |
| Zip Code | 46561-2062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811165269 | Footprints Pediatric Inc | Physical Therapist | 1415 Lincoln Way W, Suite M, Osceola, IN 46561-2062 | 2008-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535166 | Mary Agnes Dutoi | Technician | 54408 Venita Court, Osceola, IN 46561 | 2019-08-29 |
| 1881816007 | Dental Professionals of Indiana, P.C. | Dentist | 103 Osceola Ave, Osceola, IN 46561 | 2007-05-03 |
| 1922085315 | Donald Paul Warren | Chiropractor | 5432 Lincolnway East, Osceola, IN 46561 | 2005-12-27 |
| 1134414329 | Aixsa Perez M D P C | Family Medicine | 1712 Lincolnway W, Suite A, Osceola, IN 46561-1933 | 2011-06-15 |
| 1669769915 | Frances Dwyer, Md | Pediatrics | 1712 Lincolnway W, Suite A, Osceola, IN 46561-1933 | 2011-07-07 |
| 1639171853 | Aixsa Perez | Family Medicine | 1712 Lincoln Way W Ste A, Osceola, IN 46561-1939 | 2005-06-01 |
| 1477733582 | Spinalign PC | Chiropractor | 5432 Lincoln Way E, Osceola, IN 46561-1960 | 2007-11-06 |
| 1699885723 | John Douglas Busch | Chiropractor | 5432 Lincolnway E, Osceola, IN 46561-1960 | 2006-08-30 |
| 1164948543 | Zac Williams | Chiropractor | 5432 Lincolnway E, Osceola, IN 46561-1960 | 2017-08-17 |
| 1922485440 | 3d Scoliosis Brace, LLC | Durable Medical Equipment & Medical Supplies | 5432 Lincolnway E, Osceola, IN 46561-1960 | 2015-05-05 |
| Find all providers in zip 46561 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982230421 | Cynthia Joyce Robinson | Family Medicine | 104 E Greenbriar Dr, Osceola, AR 72370-2820 | 2020-03-17 |
| 1932469780 | John Kendrick Graham | Family Medicine | 58267 Beech Rd, Osceola, IN 46561-9225 | 2012-05-25 |
| 1134414329 | Aixsa Perez M D P C | Family Medicine | 1712 Lincolnway W, Suite A, Osceola, IN 46561-1933 | 2011-06-15 |
| 1265735682 | David Jameson | Family Medicine | 531 Beebe St # 546, Osceola, NE 68651 | 2010-12-07 |
| 1487973673 | Yulanda Belle Harrison | Family Medicine | 616 W. Keiser, Osceola, AR 72370-3504 | 2010-05-27 |
| 1336308949 | Thomas J Lower Do PC | Family Medicine | 127 W Washington St, Osceola, IA 50213-1248 | 2008-06-09 |
| 1003004136 | James David Kimball | Family Medicine | 1015 Lakeshore Dr, Osceola, IA 50213-1604 | 2007-10-15 |
| 1043417637 | Southern Iowa General Medicine LLC | Family Medicine | 105 E Mclane St, Suite 400, Osceola, IA 50213-1456 | 2007-06-28 |
| 1922120195 | Mississippi County Primary Care | Family Medicine | 602 W Union Ave Ste B, Osceola, AR 72370-3014 | 2007-04-06 |
| 1740326610 | Sherita D Willis | Family Medicine | 616 W Lee Ave, Osceola, AR 72370-3002 | 2007-01-29 |
| Find all providers in OSCEOLA | ||||
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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.