Diane L Kennedy (NPI# 1316939721, PAC ID# 1951443498) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1316939721 |
| PAC ID by PECOS | 1951443498 |
| Professional Enrollment ID | I20100122000115 |
| Full Name | Diane L Kennedy |
| Organization Legal Name | SANFORD CLINIC |
| Address |
601 Louisiana Ave Adrian MN 56110-1051 |
| Phone Number | 5074832668 |
| Gender | F |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0244143824 |
| Number of Group Practice Members | 345 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241371 | SANFORD LUVERNE MEDICAL CENTER |
| 240022 | SANFORD MEDICAL CENTER WORTHINGTON |
| Address | Phone | Organization |
|---|---|---|
| 201 Maine Ave, Adrian, MN 56110-1057 | 5074832668 | SANFORD CLINIC |
| 601 Louisiana Ave, Adrian, MN 56110-1051 | 5074832668 | SANFORD CLINIC |
| 733 Main St, Suite A, Edgerton, MN 56128-3000 | 5076314476 | SANFORD HEALTH NETWORK |
| 101 N Main St, Suite 1, George, IA 51237-7741 | 7124753393 | SANFORD HEALTH NETWORK |
| 1600 N Kniss Ave, Sanford Luverne Medical Center, Luverne, MN 56156-1067 | 5072832321 | SANFORD HEALTH NETWORK |
| 1601 Sioux Valley Dr, Luverne, MN 56156-4500 | 5072834476 | SANFORD HEALTH NETWORK |
| 104 Buncombe Dr, Rock Rapids, IA 51246-1003 | 7124723333 | SANFORD CLINIC |
| Organization Legal Name | SANFORD CLINIC |
| Physicians | 392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mackenzie M Mertz | Psychiatry | Sanford Clinic | 2400 W 49th St, Psych Clinic, Sioux Falls, SD 57105-6581 |
| Andrew J Erie | Diagnostic Radiology | Sanford Clinic | 1210 W 18th St, Suite Ll03, Sioux Falls, SD 57104-4654 |
| Evan M Wiersma | Physical Therapy | Sanford Clinic | 104 Buncombe Dr, Rock Rapids, IA 51246-1003 |
| Shauna M Jacobs | Nurse Practitioner | Sanford Clinic | 1309 W 17 St, Radiation Oncology, Sioux Falls, SD 57104-4663 |
| Kylee B Whitney | Nurse Practitioner | Sanford Clinic | 1508 W 22nd St, Suite 101, Sioux Falls, SD 57105-1506 |
| Rachel M Lynde | Nurse Practitioner | Sanford Clinic | 922 22nd Ave S, Brookings, SD 57006-2830 |
| Lori L Thom | Clinical Social Worker | Sanford Clinic | 308 8th N St, Mountain Lake, MN 56159-1568 |
| Kimberly Haines | Nurse Practitioner | Sanford Clinic | 640 E Sioux Ave, 2 Child Spec Clin, Pierre, SD 57501-3300 |
| Cari A Folkens | Nurse Practitioner | Sanford Clinic | 600 W Cedar St, Beresford, SD 57004-1125 |
| Nichole R Krier | Nurse Practitioner | Sanford Clinic | 900 E 54th N St, Suite 100, Sioux Falls, SD 57104-0681 |
| Street Address |
601 LOUISIANA AVE |
| City | ADRIAN |
| State | MN |
| Zip | 56110-1051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda R Bullerman | Physician Assistant | Sanford Clinic | 601 Louisiana Ave, Adrian, MN 56110-1051 |
| Katy M Zogg | Nurse Practitioner | Sanford Clinic | 601 Louisiana Ave, Adrian, MN 56110-1051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan P Rud | Family Medicine | Sanford Clinic | 201 Maine Ave, Adrian, MN 56110-1057 |
| Brooke D Vandenhoek | Physical Therapy | Sanford Clinic | 201 Maine Ave, Adrian, MN 56110-1057 |
| Jennifer L Hoefert | Physical Therapy | Sanford Clinic | 201 Maine Ave, Adrian, MN 56110-1057 |
| Tracy R Kramer | Physical Therapy | Sanford Clinic | 201 Maine Ave, Adrian, MN 56110-1057 |
| City | ADRIAN |
| Zip Code | 56110 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ADRIAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Diane L 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.