MR. MARK KENNEDY (NPI# 1699189845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699189845 |
| Entity Type | Individual |
| Full Name | MR. MARK KENNEDY |
| Credential | ATC |
| Practice Address |
707 N Emporia St Wichita KS 67214-3707 |
| Mailing Address |
7703 W Shadow Lakes St Wichita KS 67205-1913 |
| Practice Telephone | 3168583524 |
| Mailing Telephone | 3164250692 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | 24-00513 | KS | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727395 | Mark Thomas Kennedy | Pharmacist | 223 S Lakeshore Dr, Lake City, MN 55041-1642 | 2020-03-31 |
| 1245790948 | Mark Allen Kennedy | Student in an Organized Health Care Education/Training Program | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2019-03-20 |
| 1588156368 | Mark Kennedy | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2018-06-06 |
| 1457686636 | Mark Kennedy | Social Worker | 9445 Farnham St Ste 100, San Diego, CA 92123-1308 | 2009-10-06 |
| 1629257357 | Mark H Kennedy | Dentist | 5800 Ridgewood Rd, Suite 104, Jackson, MS 39211-2667 | 2007-10-30 |
| 1972707792 | Mark E Kennedy | Nurse Anesthetist, Certified Registered | 2200 State St, Lawrenceville, IL 62439-1852 | 2007-06-14 |
| 1811028673 | Mark S Kennedy | Nurse Practitioner | 1355 Rocketdyne Rd, Neosho, MO 64850-3106 | 2007-03-07 |
| 1891864328 | Mark Kennedy | Counselor | 921 E Compton Blvd Fl 1, Compton, CA 90221-3303 | 2006-11-07 |
| 1811948599 | Mark E Kennedy | Ophthalmology | 345 Clyde Morris Blvd, Suite 330, Ormond Beach, FL 32174-3111 | 2006-05-15 |
| Street Address |
707 N EMPORIA ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649580 | Philip L Cherven | Pediatrics | 707 N Emporia St, Wichita, KS 67214-3707 | 2005-06-15 |
| 1942831334 | Leah Somes | Nurse Practitioner | 707 N Emporia St, Wichita, KS 67214-3707 | 2020-02-04 |
| 1194257030 | Debra Burns | Physical Therapist | 707 N Emporia St, Wichita, KS 67214-3707 | 2017-03-30 |
| 1174973259 | Jamie Borick | Family Medicine | 707 N Emporia St, Wichita, KS 67214-3707 | 2016-06-20 |
| 1346601242 | Sarah Marie Zorko | Family Medicine | 707 N Emporia St, Wichita, KS 67214 | 2016-03-19 |
| 1770989055 | Janet L Miller | Specialist/Technologist | 707 N Emporia St, Wichita, KS 67214-3707 | 2014-11-13 |
| 1376948216 | Randall Fox | Specialist/Technologist | 707 N Emporia St, Wichita, KS 67214-3707 | 2014-11-04 |
| 1891100061 | Beth Miranda | Specialist | 707 N Emporia St, Wichita, KS 67214-3707 | 2014-06-26 |
| 1255745998 | Samantha West | Specialist/Technologist | 707 N Emporia St, Wichita, KS 67214-3707 | 2014-06-19 |
| 1164836391 | Carolyn Lefevre | Clinic/Center | 707 N Emporia St, Wichita, KS 67214-3707 | 2014-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689111965 | Kelsey Lynn Riefenhauser | Specialist/Technologist, Other | 3100 Mccormick, Wichita, KS 67213 | 2017-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144526872 | Jamie Rae Mcknight | Specialist/Technologist, Other | 3431 Sw Kirklawn Ave, Topeka, KS 66611-2344 | 2011-01-27 |
| 1073059390 | Elizabeth Brown | Specialist/Technologist, Other | 100 E Claflin Ave, Salina, KS 67401-6146 | 2017-01-10 |
Please comment or provide details below to improve the information on MR. MARK KENNEDY.
| 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.