Shannon Kennedy (NPI# 1821022302, PAC ID# 1355354739) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1821022302 |
| PAC ID by PECOS | 1355354739 |
| Professional Enrollment ID | I20060802000091 |
| Full Name | Shannon Kennedy |
| Organization Legal Name | REMEDY INTERNAL MEDICINE AND WELLNESS CENTER P A |
| Address |
109 Wappoo Creek Dr 2a Charleston SC 29412-2138 |
| Phone Number | 8437375206 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF NEVADA SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 1557523917 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420065 | BON SECOURS-ST FRANCIS XAVIER HOSPITAL |
| 420087 | ROPER HOSPITAL |
| 420104 | MOUNT PLEASANT HOSPITAL |
| 420004 | MUSC MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 109 Wappoo Creek Dr, 2a, Charleston, SC 29412-2138 | 8437375206 | REMEDY INTERNAL MEDICINE AND WELLNESS CENTER P A |
| Organization Legal Name | REMEDY INTERNAL MEDICINE AND WELLNESS CENTER P A |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Elizabeth Kosak | Nurse Practitioner | Remedy Internal Medicine and Wellness Center P A | 109 Wappoo Creek Dr, 2a, Charleston, SC 29412-2138 |
| Street Address |
109 WAPPOO CREEK DR 2A |
| City | CHARLESTON |
| State | SC |
| Zip | 29412-2138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Elizabeth Kosak | Nurse Practitioner | Remedy Internal Medicine and Wellness Center P A | 109 Wappoo Creek Dr, 2a, Charleston, SC 29412-2138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Michaud | Chiropractic | 1939 Maybank Hwy, Charleston, SC 29412-2114 | |
| Peter W Kfoury | Chiropractic | 147 Wappoo Creek Dr, Suite 103, Charleston, SC 29412-2122 | |
| Glen Robison | Chiropractic | 1939 Maybank Hwy, Unit C, Charleston, SC 29412-2170 | |
| Barbara S Fox | Clinical Social Worker | 2045 Maybank Hwy, Charleston, SC 29412-2342 | |
| Tu Anh N Khuu | Internal Medicine | Roper Saint Francis Physicians Network | 325 Folly Rd, Suite 101, Charleston, SC 29412-2507 |
| Carolyn A Newton | Nurse Practitioner | Roper Saint Francis Physicians Network | 325 Folly Rd, Suite 101, Charleston, SC 29412-2507 |
| Jessica Walters | Physical Therapy | Rsfh - Ati Physical Therapy LLC | 325 Folly Rd, Suite 107, Charleston, SC 29412-2507 |
| Elizabeth A Murray | Family Medicine | Roper Saint Francis Physicians Network | 325 Folly Rd, Suite 101, Charleston, SC 29412-2507 |
| Jedidiah C Litsey | Family Medicine | Roper Saint Francis Physicians Network | 325 Folly Rd, Suite 101, Charleston, SC 29412-2507 |
| Kristen Ashley Martin | Physical Therapy | Rsfh - Ati Physical Therapy LLC | 325 Folly Rd, Suite 107, Charleston, SC 29412-2507 |
| Find all physicians in zip 29412 | |||
| City | CHARLESTON |
| Zip Code | 29412 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHARLESTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Shannon 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.