Rose Kennedy (NPI# 1831159987, PAC ID# 3577608751) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1831159987 |
| PAC ID by PECOS | 3577608751 |
| Professional Enrollment ID | I20101123001132 |
| Full Name | Rose Kennedy |
| Address |
1211 Coolidge St Suite 405 Lafayette LA 70503-2638 |
| Phone Number | 3372337524 |
| Gender | F |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1986 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190002 | LAFAYETTE GENERAL MEDICAL CENTER |
| 190102 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 1211 Coolidge St, Suite 405, Lafayette, LA 70503-2638 | 3372337524 |
| Street Address |
1211 COOLIDGE ST SUITE 405 |
| City | LAFAYETTE |
| State | LA |
| Zip | 70503-2638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Byrnes E Tatford | Physical Therapy | Mts-lgh Therapy Services LLC | 111 Pasa Place, Lafayette, LA 70503 |
| John M Bienvenu | Physical Therapy | Mts-lgh Therapy Services LLC | 111 Pasa Place, Lafayette, LA 70503 |
| Zachary J Mire | Physical Therapy | Acadiana Physical Therapy, Inc | 816 Harding St, Lafayette, LA 70503-2320 |
| Kerry J.c Hoffpauir | Physical Therapy | Acadiana Physical Therapy, Inc | 816 Harding St, Lafayette, LA 70503-2320 |
| Rodi L Aucoin | Physical Therapy | Acadiana Physical Therapy, Inc | 816 Harding St, Lafayette, LA 70503-2320 |
| Jeffrey T Faber | Physical Therapy | Acadiana Physical Therapy, Inc | 816 Harding St, Lafayette, LA 70503-2320 |
| Francesca Marie Marino | Chiropractic | Leblanc Spine and Nerve, LLC | 1014 Auburn Ave, Lafayette, LA 70503-2360 |
| Jiles P Leblanc | Chiropractic | Leblanc Spine and Nerve, LLC | 1014 Auburn Ave, Lafayette, LA 70503-2360 |
| Christopher B Davis | Physical Therapy | Pain and Performance Rehab Inc | 325 Oil Ctr Dr, Lafayette, LA 70503-2419 |
| Derrick Hines | Physical Therapy | Pain and Performance Rehab Inc | 325 Oil Ctr Dr, Lafayette, LA 70503-2419 |
| Find all physicians in zip 70503 | |||
| City | LAFAYETTE |
| Zip Code | 70503 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | LAFAYETTE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Rose 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.