DR. KELLY KENNEDY (NPI# 1992071377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992071377 |
| Entity Type | Individual |
| Full Name | DR. KELLY KENNEDY |
| Credential | MD |
| Practice Address |
1818 N Meade St Suite 330 Appleton WI 54911-3454 |
| Practice Telephone | 9207494000 |
| Practice Fax Number | 9207494015 |
| Mailing Telephone | 9207494000 |
| Mailing Fax Number | 9207494015 |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2017-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
65523 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100058166 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818051 | Kelly Renee Kennedy | Specialist/Technologist | 720 N Noyes Blvd, Saint Joseph, MO 64506-2813 | 2020-07-14 |
| 1003474784 | Kelly Kennedy | Counselor | 236 Moultrie Pl, Santa Paula, CA 93060-3241 | 2019-05-29 |
| 1376973198 | Kelly Leigh Kennedy | Nurse Practitioner | 5600 Brainerd Road, Suite B14, Chattanooga, TN 37411 | 2013-11-14 |
| 1093967903 | Kelly Jean Kennedy | Physical Therapy Assistant | 1221 Corey Dr, Whitehouse, TX 75791-3731 | 2008-10-22 |
| 1174647689 | Kelly Kennedy | Occupational Therapist | N4901 Dam Rd, Delavan, WI 53115-2927 | 2007-03-19 |
| 1578572269 | Kelly David Kennedy | Chiropractor | 6 East First Avenue, Runnemede, NJ 08078-1101 | 2006-08-05 |
| 1942801956 | Kelly Kennedy | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2020-11-05 |
| 1689280406 | Kelly Marie Kennedy | Pharmacist | 500 W Grant St, Lake City, MN 55041-1143 | 2020-09-17 |
| 1427500701 | Kelly Kennedy | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2016-11-02 |
| 1841654399 | Kelly Kennedy | Dietitian, Registered | 777 North St, Pittsfield, MA 01201-4147 | 2016-04-11 |
| Street Address |
1818 N MEADE ST SUITE 330 |
| City | APPLETON |
| State | WI |
| Zip Code | 54911-3454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588666853 | Appleton Emergency Services S C | Emergency Medicine | 1818 N Meade St, Appleton, WI 54911-3454 | 2005-06-01 |
| 1720691553 | Katie Jo Bares | Physical Therapist | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-08-31 |
| 1306454053 | Samantha L Thiede | Nurse Practitioner | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-07-20 |
| 1346867272 | Lauren Renee Schauer | Registered Nurse | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-06-26 |
| 1790309755 | Lane Baumbach | Dietitian, Registered | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-06-04 |
| 1326661026 | Thedacare Regional Medical Center - Appleton, Inc. | Medicare Defined Swing Bed Unit | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-05-28 |
| 1568095016 | Samantha Putzer | Physician Assistant | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-02-12 |
| 1083245120 | Krystina L Putnam | Registered Nurse | 1818 N Meade St, Appleton, WI 54911-3454 | 2020-01-28 |
| 1366097040 | Kelsey G Alt | Physician Assistant | 1818 N Meade St, Appleton, WI 54911-3454 | 2019-08-08 |
| 1528611217 | Abigail M Witthuhn | Physician Assistant | 1818 N Meade St, Appleton, WI 54911-3454 | 2019-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545633 | Brotherly Love, LLC | Day Training, Developmentally Disabled Services | 1513 E Frances St, Appleton, WI 54911 | 2019-12-12 |
| 1952952129 | Eagle Point Senior Living Inc | Assisted Living Facility | 995 East John Street, Appleton, WI 54911 | 2019-09-27 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1174080063 | Shayla Russell | Counselor | Outagamie County Health and Human Services, 320 S. Walnut St., Appleton, WI 54911 | 2019-02-27 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1871085480 | Tanya Lynn Vickery | Social Worker | 410 S. Elm St., Appleton, WI 54911 | 2018-05-31 |
| 1013407501 | Teri G Metropulos | Counselor | 229 S. Morrison, Appleton, WI 54911 | 2018-05-10 |
| 1093211211 | Bonnie Anne Korytkowski | Student in an Organized Health Care Education/Training Program | 229 S. Morrison Street, Appleton, WI 54911 | 2018-04-05 |
| 1639673940 | Brett Follett | Psychologist | 401 S. Elm St., Appleton, WI 54911 | 2018-03-21 |
| 1700202892 | Brian Withrow | Counselor | 607 West 7th St., Appleton, WI 54911 | 2014-03-13 |
| Find all providers in zip 54911 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134293533 | John Charles Rogers Md Ltd | Obstetrics & Gynecology | 3738 S 60th St Ste 102, Milwaukee, WI 53220-1935 | 2006-11-17 |
| 1669948790 | Ashley Elkins | Obstetrics & Gynecology | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2018-10-16 |
| 1639520414 | Lauren Isabel Useem | Obstetrics & Gynecology | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2016-06-23 |
| 1003132267 | Emily Linklater | Obstetrics & Gynecology | 403 Stageline Rd, Hudson, WI 54016-7848 | 2010-04-13 |
| 1881836484 | Allison Marie Nelson | Obstetrics & Gynecology | 1111 Delafield Street, Suite 311, Waukesha, WI 53188-3407 | 2009-03-27 |
| 1174720759 | Morgan Leigh Barnum | Obstetrics & Gynecology | 403 Stageline Rd, Hudson, WI 54016-7848 | 2007-06-28 |
| 1821216276 | St Clare Memorial Hospital, Inc | Obstetrics & Gynecology | 835 S Main St, Suite 2, Oconto Falls, WI 54154-1282 | 2007-04-23 |
| 1194828442 | Holy Family Memorial Inc | Obstetrics & Gynecology | 600 York St, Manitowoc, WI 54220-6845 | 2006-09-05 |
Please comment or provide details below to improve the information on DR. KELLY 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.