WENDY HAWKINS KENNON


Address: 616 19th St, Columbus, GA 31901-1528
Phone: 7064944262

WENDY HAWKINS KENNON (NPI# 1215980081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215980081
Entity Type Individual
Full Name WENDY HAWKINS KENNON
Credential AA
Practice Address 616 19th St
Columbus
GA 31901-1528
Mailing Address 152 Burnt Hickory Way
Fortson
GA 31808-4468
Practice Telephone 7064944262
Mailing Telephone 7064947075
Enumeration Date 2006-05-19
Last Update Date 2007-10-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367H00000X Anesthesiologist Assistant 002991 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 616 19TH ST
City COLUMBUS
State GA
Zip Code 31901-1528

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720084734 Affabilis LLC Long Term Care Hospital 616 19th St, Columbus, GA 31901-1528 2005-06-23
1487210720 Timothy Joseph Francisco Nurse Practitioner 616 19th St, Columbus, GA 31901-1528 2019-05-13
1568849008 Columbus Specialty Hospital Special Hospital 616 19th St, Columbus, GA 31901-1528 2015-05-05
1770973349 Samantha Wright Pharmacist 616 19th St, Columbus, GA 31901-1528 2015-02-03
1942623772 Dawn Clack Pharmacist 616 19th St, Suite 100, Columbus, GA 31901-1528 2014-01-30
1669805479 Joshua Adam Barnes Nurse Anesthetist, Certified Registered 616 19th St, Columbus, GA 31901-1528 2013-08-15
1023441292 Muscogee Physician Services LLC Physician Assistant 616 19th St, Columbus, GA 31901-1528 2013-08-12
1861834582 Jenny Leigh Woodham Nurse Anesthetist, Certified Registered 616 19th St, Columbus, GA 31901-1528 2013-07-23
1720427073 Kari L Mcphail Nurse Anesthetist, Certified Registered 616 19th St, Columbus, GA 31901-1528 2013-06-20
1922445246 Amanda Rae Norsworthy Nurse Anesthetist, Certified Registered 616 19th St, Columbus, GA 31901-1528 2013-05-28
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1770040099 Columbus Ga Homecare, LLC In Home Supportive Care 1501 13th Street., Suite G, Columbus, GA 31901 2019-02-22
1750868782 Health Matters, Inc. Clinic/Center 1124 13th St, Columbus, GA 31901 2018-07-23
1447754197 Charles Chacha Maroa Babere Student in an Organized Health Care Education/Training Program Columbus Regional Health, Midtown Medical Center, 1900 10th Avenue, Suit 100, Columbus, GA 31901 2018-03-19
1861912867 Demetria Laprel Mcgruder Community Health Worker 1230 2nd Ave., Columbus, GA 31901 2017-06-21
1679932016 Crystal Gayle Passmore Counselor 233 12th St Ste 334, Columbus, GA 31901 2016-02-13
1700256344 Kendra Ward Community Health Worker 1230 2nd Avenue, Columbus, GA 31901 2015-09-25
1437556701 Wendy Denise Thomas Adult Companion 1501 13th Street Suite F, Columbus, GA 31901 2014-12-02
1134523996 Danielle Elaine Berry General Practice Tree of Life Healthcare, 1968 North Avenue, Columbus, GA 31901 2014-10-22
1710239330 Kati Michelle Turner Pharmacist 1800 10th Avenue, Columbus, GA 31901 2012-10-05
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Taxonomy Information

Taxonomy Code 367H00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Anesthesiologist Assistant

Taxonomy Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023004942 Amanda Culp Kowalewski Anesthesiologist Assistant 100 Frist Ct, Columbus, GA 31909-3578 2005-09-26
1285254839 Austin P. Hossfeld Anesthesiologist Assistant 410 W 10th Ave, Columbus, OH 43210-1240 2020-04-23
1124658620 Clay Christopher White Anesthesiologist Assistant 410 W 10th Ave, Columbus, OH 43210-1240 2020-01-23
1154961175 Rikki Nicole Kucinski Anesthesiologist Assistant 410 W 10th Ave, Columbus, OH 43210-1240 2020-01-07
1265071807 Pavel Vaisberg Anesthesiologist Assistant 410 W 10th Ave, Columbus, OH 43210-1240 2019-12-30
1811391477 Jennifer Dixon Anesthesiologist Assistant 2122 Manchester Expy, Columbus, GA 31904-6878 2014-10-10
1760815104 Andrew P Loftin Anesthesiologist Assistant 2122 Manchester Expy, Columbus, GA 31904-6878 2013-08-20
1699117499 Renatas Tukys Anesthesiologist Assistant 410 W 10th Ave, Columbus, OH 43210-1240 2013-07-22
1306104914 Nathaniel T Flath Anesthesiologist Assistant 410 W 10th Ave, Columbus, OH 43210 2012-05-02
1528341328 Paul F. Krupa-wilson Anesthesiologist Assistant 410 W 10th Ave, Columbus, OH 43210-1240 2011-09-28
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Competitor

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City COLUMBUS
Zip Code 31901

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Dataset Information

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.

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