JENNIFER BACANI MCKENNEY


Address: 1525 Madison St, Suite 3, Fredonia, KS 66736-1751
Phone: 6303783700

JENNIFER BACANI MCKENNEY (NPI# 1689893448) 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) 1689893448
Entity Type Individual
Full Name JENNIFER BACANI MCKENNEY
Credential MD
Practice Address 1525 Madison St
Suite 3
Fredonia
KS 66736-1751
Mailing Address 1525 Madison St Ste 3
Fredonia
KS 66736-1704
Practice Telephone 6303783700
Mailing Telephone 6203783700
Enumeration Date 2007-04-24
Last Update Date 2015-11-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 6572 KS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KS MEDICARE PTAN KA1524 01
KS 200531470B 05
KS BCBS OF KANSAS 1689893448 01

Other Providers JENNIFER MCKENNEY

NPI Name Taxonomy Address Enumeration
1952610594 Jennifer Ruth Mckenney Pharmacist 264 N 3rd Ave, Piggott, AR 72454-2009 2010-09-30

Office Location

Street Address 1525 MADISON ST
SUITE 3
City FREDONIA
State KS
Zip Code 66736-1751

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932192416 Beverly Lorraine Tasche Physician Assistant 1525 Madison St, Ste 2, Fredonia, KS 66736-1704 2005-08-30
1750754610 Jennifer Bacani Mckenney, Md, LLC Family Medicine 1525 Madison St, Suite 3, Fredonia, KS 66736-1703 2015-11-01
1194061242 Jenessa D Kleopfer Physician Assistant 1525 Madison St, Suite 2, Fredonia, KS 66736-1703 2012-12-18
1023318375 Ambrosio P Mendiola Md LLC Family Medicine 1525 Madison St, Suite 3, Fredonia, KS 66736-1703 2010-11-02
1407183494 Oswaldo C Bacani Md Chartered Surgery 1525 Madison St, Suite 3, Fredonia, KS 66736-1703 2009-11-11
1326293481 Drs. Morris & Hill Medical Clinic, LLC Clinic/Center 1525 Madison St, Suite 2, Fredonia, KS 66736-1703 2008-11-17
1750372280 James E Clay Family Medicine 1525 Madison St, Suite 3, Fredonia, KS 66736-1703 2005-11-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891907622 Grene Vision Group LLC Ophthalmology 1508 Madison, Fredonia, KS 66736 2007-05-04
1295828838 Cherie Farrar Starbuck Chiropractor 432 N 7, Fredonia, KS 66736 2006-10-02
1528609666 Southeast Kansas Nutrition LLC Dietitian, Registered 419 N 6th St Ste 16, Fredonia, KS 66736-1300 2019-09-30
1801029152 Usd 484 Fredonia Local Education Agency (LEA) 300 N 6th St, Fredonia, KS 66736-1305 2009-09-02
1831168731 Paul E. Sommer Chiropractor 427 N 6th St, Fredonia, KS 66736-1306 2006-03-14
1609856145 Ronald Guy Cleverley Dentist 428 N 7th St, Fredonia, KS 66736-1315 2006-01-19
1225149586 Home Town Health Care LLC Home Health 314 N 7th St, Fredonia, KS 66736-1337 2006-08-31
1912379389 Southeast Kansas Diabetes Education Dietitian, Registered 314 N 7th St, Fredonia, KS 66736-1337 2015-10-26
1649601683 Rachael Jean Shinkle Dietitian, Registered 314 N 7th St, Fredonia, KS 66736-1337 2013-12-02
1013403633 Jacob Dugan Pharmacist 628 Madison St, Fredonia, KS 66736-1338 2018-07-06
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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
1467565879 Oswaldo Cruz Bacani Sr. Family Medicine 1525 Madison St Ste 3, Fredonia, KS 66736-1704 2006-08-17
1548238876 Canyonlands Community Health Care Family Medicine 100 E Wood Hill Road, Fredonia, AZ 86022-0175 2006-03-11
1750754610 Jennifer Bacani Mckenney, Md, LLC Family Medicine 1525 Madison St, Suite 3, Fredonia, KS 66736-1703 2015-11-01
1023318375 Ambrosio P Mendiola Md LLC Family Medicine 1525 Madison St, Suite 3, Fredonia, KS 66736-1703 2010-11-02
1407950538 Family Practice Care LLC Family Medicine 700 Cassidy Ave, Fredonia, KY 42411 2006-09-11
1225132350 Scott R Graham Family Medicine 700 Cassidy Ave, Fredonia, KY 42411 2006-09-11
1750372280 James E Clay Family Medicine 1525 Madison St, Suite 3, Fredonia, KS 66736-1703 2005-11-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598370892 River City Osteopathic Clinic Family Medicine 401 E 1st St, Wichita, KS 67202-2501 2020-09-14
1396357166 Spira Care, LLC Family Medicine 7341 W 133rd St, Overland Park, KS 66213-4750 2020-08-21
1902428840 County of Logan Family Medicine 1001 Highway 40 Ste 4, Oakley, KS 67748-6061 2020-05-14
1285253492 Lawrence Physicians LLC Family Medicine 3211 S Iowa St Ste 100, Lawrence, KS 66046-5205 2020-04-09
1164052973 Theory Health Kansas LLC Family Medicine 10000 Marshall Dr, Lenexa, KS 66215-1244 2020-01-21
1477108603 Laurie Irene Haury Family Medicine 818 N Emporia St Ste 107, Wichita, KS 67214-3725 2019-08-05
1477107878 Lawrence Physicians LLC Family Medicine 2001 Haskell Ave Ste A, Lawrence, KS 66046-3249 2019-07-25
1104484773 Lawrence Physicians LLC Family Medicine 1130 W 4th St Ste 1015, Lawrence, KS 66044-1328 2019-05-30
1265900286 Kansas Wellness Associates LLC Family Medicine 4300 W 133rd Street, Suite 200, Leawood, KS 66209 2018-11-07
1043794373 Rajwinder Kaur Family Medicine 540 E Santa Fe St Ste E, Olathe, KS 66061-3400 2018-09-22
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Competitor

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City FREDONIA
Zip Code 66736

Improve Information

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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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