KIMBERLY M MCKENNEY


Address: 25 Park St, Canton, NY 13617-1265
Phone: 3153790404

KIMBERLY M MCKENNEY (NPI# 1235545963) 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) 1235545963
Entity Type Individual
Full Name KIMBERLY M MCKENNEY
Credential MD
Practice Address 25 Park St
Canton
NY 13617-1265
Mailing Address 25 Park St
Canton
NY 13617
Practice Telephone 3153790404
Mailing Telephone 3153799158
Enumeration Date 2014-07-02
Last Update Date 2017-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 290105-1 NY Allopathic & Osteopathic Physicians

Other Providers KIMBERLY MCKENNEY

NPI Name Taxonomy Address Enumeration
1649583113 Kimberly A. Mckenney Nurse Practitioner 2240 Remount Rd, Gastonia, NC 28054-4725 2010-07-26

Office Location

Street Address 25 PARK ST
City CANTON
State NY
Zip Code 13617-1265

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558372086 Gregory Healey Emergency Medicine 25 Park St, Canton, NY 13617-1265 2006-08-10
1174165807 Brooke Ann Baker Nurse Practitioner 25 Park St, Canton, NY 13617-1265 2019-10-15
1316341902 Amanda L Persons Physician Assistant 25 Park St, Canton, NY 13617 2014-10-10
1659575694 Joanne B Scott Physician Assistant 25 Park St, Canton, NY 13617-1265 2007-06-13
1457568792 Healey Medical Practice, Pllc Family Medicine 25 Park St, Canton, NY 13617-1265 2007-05-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700428802 Meagan Elizabeth Hogan Physician Assistant 6119 Us Highway Route 11, Canton, NY 13617 2019-10-10
1982251740 Wilma J. Blackmer Technician 1756 Cr 14, Canton, NY 13617 2019-08-26
1326525270 Kylie Broughal Physician Assistant 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 2018-07-24
1891299608 Sheena Teresa Smith Counselor 310 State Highway 310, Suite 1, Canton, NY 13617 2018-03-19
1972024594 Patrick James Sullivan Physician Assistant 6619 State Highway Route 11, Canton, NY 13617 2017-07-05
1225482763 Howard Orthotics and Prosthetics, LLC Prosthetic/Orthotic Supplier 6128 Us Highway11, Canton, NY 13617 2016-04-21
1831534452 Chin Hung Ho Dermatology 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 2013-05-09
1194061663 Sarah Prairie Counselor 80 State Hwy 310, Suite 1, Canton, NY 13617 2013-01-02
1679859094 Nathan Ellis Occupational Therapist 139 Outer State St. Rd, Canton, NY 13617 2011-10-31
1407139017 Julianne Rutley Occupational Therapist 139 Outer State Street Rd, Canton, NY 13617 2011-09-21
Find all providers in zip 13617

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124629365 Dima Healthcare, Inc Family Medicine 7768 Cumming Hwy Ste 300, Canton, GA 30115-2982 2020-11-04
1396342606 Kiwi Virtual Health Care Pllc Family Medicine 40618 Blythefield Ln, Canton, MI 48188-2251 2020-10-08
1417571142 K Loor Medical LLC Family Medicine 1750 Marietta Hwy Ste 250, Canton, GA 30114-8388 2020-05-28
1336762913 Favor Family Medical Practice Family Medicine 103 Mountain Brook Dr Ste 100, Canton, GA 30115-9078 2020-05-18
1679051213 Edward Arthur Hill Family Medicine 6104 Cedar Lane Nw, Canton, OH 44708 2018-08-06
1073012118 Mea Primary Care Plus LLC Family Medicine 112 Southlake Cir, Canton, MS 39046-5368 2018-02-05
1629592175 Healthy U Academy, LLC Family Medicine 1226 Market Ave N, Canton, OH 44714-2604 2017-07-26
1629508114 Zeinab M Makki Family Medicine 7330 N Canton Center Rd Ste 111, Canton, MI 48187-1538 2017-06-15
1366805210 Michael Wowk Family Medicine 1600 S Canton Center Rd Ste 220, Canton, MI 48188-6276 2016-03-29
1184036832 Courtney Weaver Family Medicine 15 Reinhardt College Pkwy Ste 100, Canton, GA 30114-5259 2014-05-29
Find all providers in CANTON

Competitor

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City CANTON
Zip Code 13617

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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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