JEFFREY ROBERT KENNEDY (NPI# 1235392887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235392887 |
Entity Type | Individual |
Full Name | JEFFREY ROBERT KENNEDY |
Credential | PT |
Practice Address |
1604 1st St S Willmar MN 56201-4243 |
Practice Telephone | 3202315000 |
Mailing Telephone | 3202315000 |
Enumeration Date | 2008-07-03 |
Last Update Date | 2008-07-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251S0007X |
Physical Therapist Specialization: Sports |
MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043589013 | Jeffrey R. Kennedy | Dentist | 1721 East Franklin Street, Chapel Hill, NC 27514 | 2011-12-21 |
1366889651 | Jeffrey G Kennedy | Counselor | 11440 Hamilton Ave, Suite 206, Cincinnati, OH 45231-6103 | 2013-05-28 |
1144586587 | Jeffrey Bruce Kennedy | Ophthalmology | 1145 Broadway, Seattle, WA 98122-4201 | 2012-04-10 |
1306148416 | Jeffrey Brant Kennedy | Chiropractor | 820 Jordan St, Shreveport, LA 71101-4518 | 2010-11-22 |
1316100837 | Jeffrey Kennedy | Psychiatry & Neurology | 4860 Y St, Sacramento, Sacramento, CA 95817-2307 | 2008-07-03 |
1063450369 | Jeffrey S Kennedy | Internal Medicine | 25 Hackett Blvd, South Clinical Campus, 1st Floor, Albany, NY 12208 | 2006-06-02 |
Street Address |
1604 1ST ST S |
City | WILLMAR |
State | MN |
Zip Code | 56201-4243 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225092869 | Christopher Ryan Heminover | Specialist/Technologist | 1604 1st St S, Willmar, MN 56201-4243 | 2006-04-12 |
1720546153 | Carris Health LLC | Durable Medical Equipment & Medical Supplies | 1604 1st St S, Willmar, MN 56201-4243 | 2019-03-05 |
1134602501 | Kurt William Vanderbeek | Physical Therapy Assistant | 1604 1st St S, Willmar, MN 56201-4243 | 2018-09-12 |
1114400496 | Wendy Sue Norsten | Physical Therapy Assistant | 1604 1st St S, Willmar, MN 56201-4243 | 2018-09-12 |
1295217123 | Edward Francis Arndorfer | Physical Therapy Assistant | 1604 1st St S, Willmar, MN 56201-4243 | 2018-09-06 |
1790270148 | Anna L Gessell | Dietitian, Registered | 1604 1st St S, Willmar, MN 56201-4243 | 2018-06-28 |
1841784519 | Jacob Stricherz | Dentist | 1604 1st St S, Willmar, MN 56201-4243 | 2018-06-18 |
1811488430 | Jaclyn A Schermer | Dietitian, Registered | 1604 1st St S, Willmar, MN 56201-4243 | 2018-05-21 |
1760830889 | Tory Brouwer | Physical Therapist | 1604 1st St S, Willmar, MN 56201-4243 | 2016-05-31 |
1982074332 | Jennifer G Kingery | Nurse Practitioner | 1604 1st St S, Willmar, MN 56201-4243 | 2015-09-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730793472 | Sarah Erickson | Counselor | 2120 60th Ave N.w., Willmar, MN 56201 | 2020-09-01 |
1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
1154856524 | Mude Transportation Inc | Non-emergency Medical Transport (VAN) | 1712 Monongalia Ave Sw Ap1, Willmar, MN 56201 | 2017-04-24 |
1285025874 | Jill Fellows | Occupational Therapist | 611 5th St. Sw, Willmar, MN 56201 | 2015-02-18 |
1700294881 | Brenda Wiese | Counselor | 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 | 2014-08-01 |
1275955932 | Courtney Regnier | Marriage & Family Therapist | 2320 E Hwy 12 Ste 2, Willmar, MN 56201 | 2014-01-15 |
1568732402 | Pamela Jean Kubesh | Social Worker | 328 Sw 3rd Street, Willmar, MN 56201 | 2012-01-10 |
1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
1700053345 | Nathan Schrick | Marriage & Family Therapist | 513 Sw 5th Street, Box 1810, Willmar, MN 56201 | 2008-05-13 |
1831381680 | Joan M Blonigan Christianson | Chiropractor | 1101 S 1st Street, Willmar, MN 56201 | 2007-08-15 |
Find all providers in zip 56201 |
Taxonomy Code | 2251S0007X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Sports |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952719296 | Jessica Pawlik | Physical Therapist | 3650 Plymouth Blvd Ste 100, Plymouth, MN 55446-3201 | 2014-07-31 |
1427499631 | Jonathan D Conway | Physical Therapist | 775 Prairie Center Dr Ste 250, Eden Prairie, MN 55344-7334 | 2013-07-16 |
1144492083 | Twin Cities Spine & Sports, Pllc | Physical Therapist | 6409 City West Pkwy, Suite 100, Eden Prairie, MN 55344-7845 | 2008-04-01 |
1306949359 | Nathan Stier | Physical Therapist | 7872 Century Blvd, Chanhassen, MN 55317 | 2006-09-06 |
1508969551 | Rusty Wallman | Physical Therapist | 7872 Century Boulevard, Chanhassen, MN 55317 | 2006-09-06 |
1245279306 | Peter S. Ames | Physical Therapist | 775 Prairie Center Dr, Suite 250, Eden Prairie, MN 55344-7314 | 2006-06-05 |
1912475450 | Jennifer Arnold | Physical Therapist | 410 Church St Se, Minneapolis, MN 55455-0222 | 2018-11-02 |
1942787049 | Taylor Jon Mcwilliams | Physical Therapist | 800 Prairie Center Dr Ste 230, Eden Prairie, MN 55344-7308 | 2018-07-23 |
1912322835 | Rebecca A Jorgenson | Physical Therapist | 11995 Singletree Ln, Suite 120, Eden Prairie, MN 55344-5347 | 2014-02-28 |
1740591700 | Travis Collin Gunderson | Physical Therapist | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2010-06-24 |
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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.