STACEY KEHOE


Address: 308 2nd Ave, Johnson, MN 56236-2105
Phone: 3203050856

STACEY KEHOE (NPI# 1487721668) 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) 1487721668
Entity Type Individual
Full Name STACEY KEHOE
Practice Address 308 2nd Ave
Johnson
MN 56236-2105
Practice Telephone 3203050856
Mailing Telephone 3203050856
Enumeration Date 2006-11-30
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
3747P1801X MN Nursing Service Related Providers

Office Location

Street Address 308 2ND AVE
City JOHNSON
State MN
Zip Code 56236-2105

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1730556960 Paulette Marie Desell-lund Speech-Language Pathologist 5012 Plot Rd, Johnson, VT 05656-5924 2015-08-24
1033594775 Nayive Ellis Social Worker 104 S. Main Street, Johnson, KS 67855 2015-07-23
1609282722 Ivan Ariel Cruz Repollet Family Medicine 404 N Chestnut, Johnson, KS 67855-0779 2014-07-09
1811312994 Elizabeth Ann Bailey Nurse Practitioner 404 North Chestnut Street, Johnson, KS 67855 2014-02-25
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Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

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Competitor

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City JOHNSON
Zip Code 56236

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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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