JEFFREY ROBERT KENNEDY


Address: 1604 1st St S, Willmar, MN 56201-4243
Phone: 3202315000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251S0007X Physical Therapist
Specialization: Sports
MN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JEFFREY KENNEDY

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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

Office Location

Street Address 1604 1ST ST S
City WILLMAR
State MN
Zip Code 56201-4243

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2251S0007X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Sports

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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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Competitor

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City WILLMAR
Zip Code 56201

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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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