KEVIN BYRNE (NPI# 1114429685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114429685 |
| Entity Type | Individual |
| Full Name | KEVIN BYRNE |
| Credential | PSS |
| Practice Address |
309 S Main St Bowling Green OH 43402 |
| Practice Telephone | 4193544200 |
| Mailing Telephone | 4193544200 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | OH | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972728756 | Kevin Sean Byrne | Physical Therapist | 5678 Sashabaw Rd, Clarkston, MI 48346-3148 | 2007-04-16 |
| 1326020082 | Kevin Gerard Byrne | Internal Medicine | 1029 Nichols Rd Ste 201, Osage Beach, MO 65065-3008 | 2005-11-17 |
| 1306499272 | Kevin Byrne | Physician Assistant | 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 | 2019-07-19 |
| 1700348463 | Kevin J. Byrne | Psychiatry & Neurology | 501 S Chipeta Way, Salt Lake City, UT 84108-1222 | 2019-04-02 |
| 1114251477 | Kevin Patrick Byrne | Family Medicine | 12073 World Trade Dr, Suite 3, San Diego, CA 92128-4391 | 2009-09-18 |
| 1205821675 | Kevin J Byrne | Radiology | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2005-09-13 |
| Street Address |
309 S MAIN ST |
| City | BOWLING GREEN |
| State | OH |
| Zip Code | 43402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174025712 | Ryan S Bennett | Counselor | 309 S Main St, Bowling Green, OH 43402-3010 | 2018-02-28 |
| 1619479292 | Katherine Mangold | Social Worker | 309 S Main St, Bowling Green, OH 43402-3010 | 2018-02-28 |
| 1609378264 | Julia Kershaw | Counselor | 309 S Main St, Bowling Green, OH 43402-3010 | 2018-02-28 |
| 1366944902 | Eric John Barton | Peer Specialist | 309 S Main St, Bowling Green, OH 43402-3010 | 2018-02-28 |
| 1699277236 | Verna Marie Mullins | Counselor | 309 S Main St, Bowling Green, OH 43402-3010 | 2018-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592017 | Danielle Urbaniak | Pharmacist | 722-740 South Main St, Bowling Green, OH 43402 | 2019-08-08 |
| 1013485648 | Julie Marie Knapp | Counselor | 219 South Church Street, Bowling Green, OH 43402 | 2018-11-13 |
| 1477065274 | Elizabeth Marie Leber | Social Worker | 1045 Klotz Rd., Bowling Green, OH 43402 | 2017-11-02 |
| 1558871913 | Genoa Healthcare, LLC | Pharmacy | 1010 N Prospect St Ste 56, Bowling Green, OH 43402 | 2017-10-11 |
| 1093224933 | Kevin Wagner | Contractor | 19644 Hull Prairie Rd, Bowling Green, OH 43402 | 2017-09-22 |
| 1487102273 | Mary Ann Bostdorff | Registered Nurse | 1011 North Prospect St., Bowling Green, OH 43402 | 2016-09-21 |
| 1174927354 | Kristy Siegle | Counselor | 1010 North Prospect, Bowling Green, OH 43402 | 2014-10-16 |
| 1366846560 | Timothy M Burkart | Pharmacist | 1840 E. Gypsy Lane Rd, (wood County Health Department), Bowling Green, OH 43402 | 2014-10-16 |
| 1144629411 | Ledeithra Denise Mckinney | Speech-Language Pathologist | 1921 East Gypsy Lane Rd., Bowling Green, OH 43402 | 2014-08-22 |
| 1558701607 | Mark Joseph Kleeberger | Physical Therapy Assistant | 1180 N Main St, Bowling Green, OH 43402 | 2013-07-02 |
| Find all providers in zip 43402 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204212 | Kada Essig | Peer Specialist | 308 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2020-07-31 |
| 1891302055 | Jerhett Burney | Peer Specialist | 330 E 10th Ave, Bowling Green, KY 42101-2110 | 2020-09-30 |
| 1205455730 | Brandon Riddle | Peer Specialist | 1711 Ashley Cir Ste 6, Bowling Green, KY 42104-5801 | 2020-04-14 |
| 1588293021 | Jasmine Cooper | Peer Specialist | 1500 Parkside Dr, Bowling Green, KY 42101-2756 | 2020-04-06 |
| 1780217711 | Joshua R Carter | Peer Specialist | 1312 Westen St, Bowling Green, KY 42104-3352 | 2020-02-18 |
| 1871147181 | Gretchen Denney | Peer Specialist | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2019-07-25 |
| 1235797192 | Crystal Marie Higdon | Peer Specialist | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2019-06-04 |
| 1447816871 | Stacy Crews | Peer Specialist | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2019-05-10 |
| 1366006892 | Jordan Bean | Peer Specialist | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2019-04-30 |
| 1609430271 | Rutuja Chinchankar | Peer Specialist | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2019-04-29 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 43402 |
Please comment or provide details below to improve the information on KEVIN BYRNE.
| 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.