KENNETH LYNN HUSSEY (NPI# 1841295938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841295938 |
| Entity Type | Individual |
| Full Name | KENNETH LYNN HUSSEY |
| Credential | PA-C |
| Practice Address |
1059 N 100 W Beaver UT 84713-1690 |
| Mailing Address |
Po Box 1690 Beaver UT 84713-1690 |
| Practice Telephone | 4354387280 |
| Practice Fax Number | 4354387210 |
| Mailing Telephone | 4354387280 |
| Mailing Fax Number | 4354387210 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3434871206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447667670 | Kenneth Hussey | Registered Nurse | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2014-07-21 |
| 1326271610 | Kenneth Mark Hussey | Dentist | 38th Street Bldg 38717, Usa Dentac Attn: B. Sloan, Fort Gordon, GA 30905-5660 | 2009-09-02 |
| Street Address |
1059 N 100 W |
| City | BEAVER |
| State | UT |
| Zip Code | 84713-1690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740750561 | Joan Yardley | Nurse Practitioner | 1059 N 100 W, Beaver, UT 84713-7758 | 2018-12-05 |
| 1811399116 | Reagan Fails | Physician Assistant | 1059 N 100 W, Beaver, UT 84713-1690 | 2014-09-18 |
| 1568800209 | Rhett R Smith | Family Medicine | 1059 N 100 W, Beaver, UT 84713-1690 | 2013-06-04 |
| 1952605370 | Travis Hicks | Physician Assistant | 1059 N 100 W, Beaver, UT 84713-1690 | 2010-12-28 |
| 1972747269 | Lindsay Ann Cheney | Nurse Practitioner | 1059 N 100 W, Beaver, UT 84713-1690 | 2009-04-30 |
| 1518117167 | David Myntti | Physician Assistant | 1059 N 100 W, Beaver, UT 84713-1690 | 2008-09-19 |
| 1083755342 | Rebecca S Rasmusson | Nurse Practitioner | 1059 N 100 W, Beaver, UT 84713-1690 | 2007-02-09 |
| 1295817708 | Lance Clyde Smith | Family Medicine | 1059 N 100 W, Beaver, UT 84713-1690 | 2006-10-20 |
| 1962438895 | Wade Hollingshead | Nurse Practitioner | 1059 N 100 W, Beaver, UT 84713-1690 | 2006-06-23 |
| 1770570202 | Beaver Medical, LLC | Clinic/Center | 1059 N 100 W, Beaver, UT 84713-1690 | 2005-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780086983 | E. Jones Legacy Care Homes | Assisted Living Facility | 380 N 500 W, Beaver, UT 84713 | 2014-09-18 |
| 1679823876 | H2rx | Pharmacy | 98 N Main Street #b, Beaver, UT 84713 | 2012-09-14 |
| 1699042176 | Shari Lyn Gillins | Case Manager/Care Coordinator | 75 West 1175 North, Beaver, UT 84713 | 2011-11-28 |
| 1558563650 | Doris Gale Cowan | Registered Nurse | 590 North 100 East, Beaver, UT 84713 | 2007-06-01 |
| 1942420229 | David S Howard | Dentist | 225 N Main, Beaver, UT 84713 | 2007-04-27 |
| 1487772315 | Delmont G. Myers | Dentist | 885 No, 50 E., Beaver, UT 84713 | 2007-03-27 |
| 1700928785 | Kathleen Hanley Rose | Social Worker | 75 W 1175 N, Beaver, UT 84713 | 2007-02-13 |
| 1679646319 | Gary W. Clark A Professional Corporation | Durable Medical Equipment & Medical Supplies | 55 N 400 E, Beaver, UT 84713 | 2006-11-17 |
| 1477666295 | Harold D Murdock | Dentist | 55 No 400 E, Beaver, UT 84713 | 2006-08-16 |
| 1114194909 | Kandance Muir | Case Manager/Care Coordinator | 75 W 1175 N, Beaver, UT 84713 | 2008-05-12 |
| Find all providers in zip 84713 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437789534 | Hannah Louise Palochak | Physician Assistant | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2020-01-17 |
| 1043851124 | Harleigh Solvesky | Physician Assistant | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2019-09-30 |
| 1174091854 | Kathryn Hankins Renne | Physician Assistant | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2018-11-11 |
| 1578030391 | Teresa Elizabeth Rose Pokita | Physician Assistant | 250 College Ave, Beaver, PA 15009-2706 | 2018-10-30 |
| 1669923348 | Cara Costa | Physician Assistant | 1000 Dutch Ridge Rd, Er Department, Beaver, PA 15009-9727 | 2016-10-18 |
| 1649632423 | Carolyn S Maromonte | Physician Assistant | 250 College Ave, Beaver, PA 15009-2706 | 2016-03-22 |
| 1811399116 | Reagan Fails | Physician Assistant | 1059 N 100 W, Beaver, UT 84713-1690 | 2014-09-18 |
| 1972931863 | Heritage Valley Medical Group, Inc | Physician Assistant | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2013-10-31 |
| 1275889107 | Jennifer Marie Jablonowski | Physician Assistant | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2012-07-30 |
| 1841577806 | Danielle N Petrillo | Physician Assistant | 350 3rd St, Beaver, PA 15009-2261 | 2011-11-04 |
| Find all providers in BEAVER | ||||
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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.