ANNA JOYCE KENNEL


Address: 2505 Oak Rd, Plymouth, IN 46563-9757
Phone: 8006355516

ANNA JOYCE KENNEL (NPI# 1568431583) 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) 1568431583
Entity Type Individual
Full Name ANNA JOYCE KENNEL
Credential FNP
Practice Address 2505 Oak Rd
Plymouth
IN 46563-9757
Mailing Address 328 N Michigan St
Suite 200
South Bend
IN 46601-1244
Practice Telephone 8006355516
Mailing Telephone 5746471069
Mailing Fax Number 5746471825
Enumeration Date 2006-03-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
71001010A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN NP LICENSE 71001010A 01

Office Location

Street Address 2505 OAK RD
City PLYMOUTH
State IN
Zip Code 46563-9757

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NPI Name Taxonomy Address Enumeration
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1487722948 Allen Edward Reese Hearing Instrument Specialist 322 N. Michigan St., Suite C, Plymouth, IN 46563 2006-12-01
1508932252 Thomas A Miller Chiropractor 1071 Lincolnway E, Plymouth, IN 46563 2006-11-27
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821593138 Kathleen Marie Smith Nurse Practitioner 44456 Brookside Rd, Plymouth, MI 48170-3848 2018-03-28
1306088265 Lacey Lyn Schafer Nurse Practitioner W9071 Forest Dr, Plymouth, WI 53073 2009-03-24
1285879387 Karen V Hebshie-bishop Nurse Practitioner 47 Obery St Ste 1a, Plymouth, MA 02360-2230 2008-12-04
1205896511 Polly A Nesset Nurse Practitioner 15700 37th Ave N Ste 300, Plymouth, MN 55446-3661 2006-03-23
1912360223 Dina Khaled Nurse Practitioner 15700 37th Ave N Ste 300, Plymouth, MN 55446-3661 2016-04-04
1629444690 Haven Home Physicians, PC Nurse Practitioner 408 S Main St, Plymouth, MI 48170-1709 2015-08-13
1942637434 Barbara Greenwell Nurse Practitioner 101 Boulder Point Dr Ste 1, Plymouth, NH 03264-3170 2013-09-30
1811320997 Katharine Schmid Nurse Practitioner 116 Court St, Plymouth, MA 02360-8710 2013-08-13
1265878987 Casey C O'boyle Nurse Practitioner 45 Resnik Rd, Suite 202, Plymouth, MA 02360-4844 2013-05-21
1407100357 Kathleen Powers Graham Nurse Practitioner 15700 37th Ave N Ste 300, Plymouth, MN 55446-3661 2012-10-30
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Competitor

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City PLYMOUTH
Zip Code 46563

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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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