BENJAMIN KENNY (NPI# 1558892398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558892398 |
| Entity Type | Individual |
| Full Name | BENJAMIN KENNY |
| Credential | DO |
| Practice Address |
5635 Se Woodland Dr Gresham OR 97080-2917 |
| Practice Telephone | 5037200520 |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5635 SE WOODLAND DR |
| City | GRESHAM |
| State | OR |
| Zip Code | 97080-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1124371059 | Nickole Turner | Massage Therapist | 2831 Se Palmquist Rd #157, Gresham, OR 97080 | 2012-10-16 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1821385584 | Angela West | Counselor | 320 Sw 6th Ave., Gresham, OR 97080 | 2011-07-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1427205442 | Maria G Jolley | Dental Hygienist | 1267 Se Stapleton Loop, Gresham, OR 97080 | 2008-08-21 |
| 1073776738 | Sabrina Joye Hindman | Marriage & Family Therapist | 6370 Se 26th St, Gresham, OR 97080 | 2008-07-03 |
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1508903261 | Lonetta Elise Davis | Adult Companion | 349 Se Plamblad, Gresham, OR 97080 | 2007-01-31 |
| Find all providers in zip 97080 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144724428 | Bahar M Kasimi | Student in an Organized Health Care Education/Training Program | 2840 Se Cleveland Dr, Gresham, OR 97080-6274 | 2018-03-21 |
| 1487053872 | Mary Demyan | Student in an Organized Health Care Education/Training Program | 5875 Se 18th St, Gresham, OR 97080-3100 | 2014-08-21 |
| 1801443221 | Kinda Lilley-karkos | Student in an Organized Health Care Education/Training Program | 2222 E Powell Blvd, Gresham, OR 97080-1365 | 2019-08-20 |
| 1043794803 | Hillary Bell | Student in an Organized Health Care Education/Training Program | 2222 E Powell Blvd, Gresham, OR 97080-1365 | 2018-09-18 |
| 1831235191 | Kimberly A Schmidt | Student in an Organized Health Care Education/Training Program | 400 Ne 7th St, Gresham, OR 97030-5604 | 2007-01-30 |
| 1508902362 | Georgann Dorthe Wingerson | Student in an Organized Health Care Education/Training Program | 400 Ne 7th St, Gresham, OR 97030-5604 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407265 | Daisy May Macgilbert | Student in an Organized Health Care Education/Training Program | 15698 Sw Greenfield Dr, Tigard, OR 97224-3828 | 2020-11-03 |
| 1215536602 | Dario J Lapoma | Student in an Organized Health Care Education/Training Program | 1305 Se Birch St, Portland, OR 97214-5335 | 2020-10-18 |
| 1497354880 | Justin Tyler Miracle | Student in an Organized Health Care Education/Training Program | 1421 Nw Cleveland Ave, Corvallis, OR 97330-2015 | 2020-10-18 |
| 1740888155 | Charles Samuel Goldfoot | Student in an Organized Health Care Education/Training Program | 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 | 2020-10-16 |
| 1396343992 | Shelby Taylor Bowerly | Student in an Organized Health Care Education/Training Program | 4522 Ne Ainsworth St, Portland, OR 97218-1322 | 2020-10-15 |
| 1821696816 | Nancy Sierra Ferrer | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 | 2020-10-13 |
| 1437757663 | David Gallacher | Student in an Organized Health Care Education/Training Program | 3303 S Bond Ave # 1, Portland, OR 97239-4501 | 2020-10-10 |
| 1366049777 | Carolyn Evans | Student in an Organized Health Care Education/Training Program | 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 | 2020-10-08 |
| 1871100503 | Mason P Haye | Student in an Organized Health Care Education/Training Program | 21430 Miles Dr, West Linn, OR 97068-2880 | 2020-09-27 |
| 1760098628 | Reid Marion | Student in an Organized Health Care Education/Training Program | 21420 Colt Rd, Klamath Falls, OR 97603-9803 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
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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.