JENNY LOUISE KENEZUROFF (NPI# 1861676843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861676843 |
| Entity Type | Individual |
| Full Name | JENNY LOUISE KENEZUROFF |
| Credential | CHP |
| Practice Address |
101 Slocum Drive King Cove AK 99612-0009 |
| Mailing Address |
Po Box 9 King Cove AK 99612-0009 |
| Practice Telephone | 9074972311 |
| Practice Fax Number | 9074972310 |
| Mailing Telephone | 9074972311 |
| Mailing Fax Number | 9074972310 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | AK | Other Service Providers |
| Street Address |
101 SLOCUM DRIVE |
| City | KING COVE |
| State | AK |
| Zip Code | 99612-0009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841474848 | Priscilla Jean Miller | Specialist | 101 Slocum Drive, King Cove, AK 99612-0009 | 2007-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285825596 | Sevilla Ingersoll Love | Social Worker | 100 Slocum Dr., King Cove, AK 99612 | 2007-08-05 |
| 1144252529 | Michael E Costa | Dentist | 100 Slocum Dr, King Cove, AK 99612 | 2006-07-07 |
| 1134696156 | Shonna Wheeler | Dental Therapist | 100 Slocum Drive, King Cove, AK 99612 | 2018-10-29 |
| 1912317207 | Christine Prokop | Counselor | 9 Main Street, King Cove, AK 99612 | 2014-05-07 |
| 1275875742 | Erik J Linduska | Dental Therapist | 100 Slocum Drive, King Cove, AK 99612 | 2013-03-22 |
| 1376839233 | Riza Zoe Bendixen | Community Health Worker | 100 Slocum Drive, King Cove, AK 99612 | 2011-06-20 |
| 1154636207 | Summer Ann Mack | Community Health Worker | 100 Slocum Drive, King Cove, AK 99612 | 2010-08-13 |
| 1235444886 | Anthony R Brown | Community Health Worker | 100 Slocum Drive, King Cove, AK 99612 | 2010-08-06 |
| 1417192410 | Joanna R. Fountain | Specialist | 100 Slocum Drive, King Cove, AK 99612 | 2008-12-05 |
| 1225281991 | Kendra Eguia | Community Health Worker | 100 Slocum Drive, King Cove, AK 99612 | 2008-10-28 |
| Find all providers in zip 99612 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417192410 | Joanna R. Fountain | Specialist | 100 Slocum Drive, King Cove, AK 99612 | 2008-12-05 |
| 1841474848 | Priscilla Jean Miller | Specialist | 101 Slocum Drive, King Cove, AK 99612-0009 | 2007-12-27 |
| 1700916780 | Senta J Williams | Specialist | 100 Slocum Drive, King Cove, AK 99612 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790742 | Danielle M Hall | Specialist | 2925 Debarr Rd Ste 399, Anchorage, AK 99508-2966 | 2018-11-27 |
| 1497235642 | Beth Alta Fletcher | Specialist | 737 W 5th Ave Ste 202, Anchorage, AK 99501 | 2018-08-17 |
| 1811406143 | Joshua Hawley | Specialist | 43335 Kalifornsky Beach Rd Ste 25, Soldotna, AK 99669-8280 | 2017-09-29 |
| 1235668443 | Aimee M Hull-malnoske | Specialist | 22211 Brownie Dr, Eagle River, AK 99577-9520 | 2017-06-09 |
| 1982145637 | The Oriental Healing Arts Center LLC | Specialist | 2636 Spenard Rd, Anchorage, AK 99503-2336 | 2017-03-14 |
| 1720522410 | Rebecca Carter | Specialist | 5013 Marlowe Ave, A, Anchorage, AK 99508-3738 | 2016-12-14 |
| 1942744875 | Samantha Lange | Specialist | 11421 Old Glenn Hwy Ste 101, Eagle River, AK 99577-7783 | 2016-12-12 |
| 1770035883 | Anne Honer | Specialist | 8641 Brookway Cir, Anchorage, AK 99504-4274 | 2016-10-25 |
| 1548711005 | Gordon Jay Wallis | Specialist | 142 W 5th Ave, Anchorage, AK 99501-2522 | 2016-10-19 |
| 1194272971 | William L Emery | Specialist | 3789 Blessing Ave, North Pole, AK 99705-6535 | 2016-09-08 |
| 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.