Kathleen A Kennedy (NPI# 1528080967, PAC ID# 0244239168) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1528080967 |
| PAC ID by PECOS | 0244239168 |
| Professional Enrollment ID | I20070907000742 |
| Full Name | Kathleen A Kennedy |
| Organization Legal Name | CENTRAL COAST MEDICAL ONCOLOGY CORP |
| Address |
1325 E Church St Suite 301 Santa Maria CA 93454-5915 |
| Phone Number | 8053499393 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 7719942432 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050107 | MARIAN REGIONAL MEDICAL CENTER |
| 050232 | FRENCH HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1325 E Church St, Suite 301, Santa Maria, CA 93454-5915 | 8053499393 | CENTRAL COAST MEDICAL ONCOLOGY CORP |
| Organization Legal Name | CENTRAL COAST MEDICAL ONCOLOGY CORP |
| Physicians | 1 |
| Street Address |
1325 E CHURCH ST SUITE 301 |
| City | SANTA MARIA |
| State | CA |
| Zip | 93454-5915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eileen Carol Lussier | Psychologist, Clinical | 1325 E Church St, Santa Maria, CA 93454-5909 | |
| Monica Rocco | General Surgery | Pacific Central Coast Health Centers | 1325 E Church St, 202 Mission Hope Health Center, Santa Maria, CA 93454-5915 |
| Gisele R Rohde | Physician Assistant | Pacific Central Coast Health Centers | 1325 E Church St, 202 Mission Hope Health Center, Santa Maria, CA 93454-5915 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jane P O Brien | Certified Registered Nurse Anesthetist (crna) | 816 E Ehos Dr B, Santa Maria, CA 93454 | |
| Ramanand C Dandillaya | Neurology | 210 S Palisade S Dr, Suite 203, Santa Maria, CA 93454 | |
| Gayle L Ulshafer | Certified Registered Nurse Anesthetist | 837 Harper Ct, Santa Maria, CA 93454-2348 | |
| James Tahmisian | Psychologist, Clinical | 117 E Fesler St, Santa Maria, CA 93454-4404 | |
| Ron T Ng | Optometry | 610 E Chapel St, Suite C, Santa Maria, CA 93454-4522 | |
| Arlene C Gonzales | Family Medicine | 722 E Chapel St, Santa Maria, CA 93454-4524 | |
| Nathan Singer | Interventional Pain Management | 120 N Miller St A, Santa Maria, CA 93454-4557 | |
| Matthew Hadilaksono | Physical Medicine and Rehabilitation | Lags Spine and Sportscare Medical Centers Inc | 801 E Chapel St, Suite 1, Santa Maria, CA 93454-4607 |
| Kenneth Ejiogu | Nurse Practitioner | Lags Spine and Sportscare Medical Centers Inc | 801 E Chapel St, Santa Maria, CA 93454-4607 |
| Wanda J Spencer | Obstetrics/gynecology | 937 E Main St, 101 Women Care, Santa Maria, CA 93454-4607 | |
| Find all physicians in zip 93454 | |||
| City | SANTA MARIA |
| Zip Code | 93454 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | SANTA MARIA + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Kathleen A Kennedy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.