Elizabeth Lynn Kennedy (NPI# 1215007414, PAC ID# 4880696657) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215007414 |
| PAC ID by PECOS | 4880696657 |
| Professional Enrollment ID | I20100120000889 |
| Full Name | Elizabeth Lynn Kennedy |
| Organization Legal Name | RIDGEVIEW MEDICAL CENTER |
| Address |
675 Water St Excelsior MN 55331-3072 |
| Phone Number | 9529067855 |
| Gender | F |
| Credential | DO |
| Medical School | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9234041997 |
| Number of Group Practice Members | 191 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240056 | RIDGEVIEW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 675 Water St, Excelsior, MN 55331-3072 | 9529067855 | RIDGEVIEW MEDICAL CENTER |
| Organization Legal Name | RIDGEVIEW MEDICAL CENTER |
| Physicians | 160 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tyler K Johnson | Physician Assistant | Ridgeview Medical Center | 7907 Powers Blvd, Chanhassen, MN 55317-9502 |
| Gretchen A Soberay | Family Medicine | Ridgeview Medical Center | 916 Saint Peter St, Delano, MN 55328-2813 |
| Roberta M Midwinter | Family Practice | Ridgeview Medical Center | 551 4th N St, Winsted, MN 55395-7789 |
| Jeffrey Duane Martin | Certified Registered Nurse Anesthetist (crna) | Ridgeview Medical Center | 500 S Maple St, Waconia, MN 55387-1752 |
| Rachael M Harter | Internal Medicine | Ridgeview Medical Center | 7907 Powers Blvd, Chanhassen, MN 55317-9502 |
| Sara E Maurer | Nurse Practitioner | Ridgeview Medical Center | 500 S Maple St, Waconia, MN 55387-1752 |
| Edmund P Chute | Vascular Surgery | Ridgeview Medical Center | 111 Hundertmark Rd, Suite 115n, Chaska, MN 55318-1584 |
| Bruce J Hubbard | Emergency Medicine | Ridgeview Medical Center | 111 Hundertmark Rd, Chaska, MN 55318-4551 |
| Cynthia M Brick | Certified Registered Nurse Anesthetist (crna) | Ridgeview Medical Center | 500 S Maple St, Waconia, MN 55387-1752 |
| Laurie K Grotzinger | Physician Assistant | Ridgeview Medical Center | 7907 Powers Blvd, Chanhassen, MN 55317-9502 |
| Street Address |
675 WATER ST |
| City | EXCELSIOR |
| State | MN |
| Zip | 55331-3072 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Celesta C Myland | Qualified Audiologist | Ridgeview Medical Center | 675 Water St, Excelsior, MN 55331-3072 |
| Maureen P Utz | Dermatology | Ridgeview Medical Center | 675 Water St, Excelsior, MN 55331-3072 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan P Langemo | Optometry | Excelsior Eyecare Pllc | 228 Water St, Excelsior, MN 55331-1825 |
| Phillip M Marty | Chiropractic | Marty Chiropractic-excelsior Inc. | 464 2nd St, Excelsior, MN 55331-1963 |
| Troy A Sailer | Chiropractic | Marty Chiropractic-excelsior Inc. | 464 2nd St, Excelsior, MN 55331-1963 |
| Ross K Rogney | Chiropractic | Marty Chiropractic-excelsior Inc. | 464 2nd St, Suite 200, Excelsior, MN 55331-1963 |
| Michael J Isaacson | Chiropractic | 24000 Hwy 7 215, Excelsior, MN 55331-2925 | |
| Alyssa J Isaacson | Chiropractic | South Lake Chiropractic Pllc | 24000 Hwy 7 215, Excelsior, MN 55331-2925 |
| Rory A Faherty | Chiropractic | South Lake Chiropractic Pllc | 24000 Hwy 7 215, Excelsior, MN 55331-2925 |
| Sarah L Rowe | Optometry | 143 Oak St, Excelsior, MN 55331-3030 | |
| Brittany Lynn Mulder | Chiropractic | Empower Chiropractic and Wellness Center P.l.l.c. | 373 George St, Excelsior, MN 55331-3061 |
| Madalyn Marie Raasch | Chiropractic | Empower Chiropractic and Wellness Center P.l.l.c. | 373 George St, Excelsior, MN 55331-3061 |
| Find all physicians in zip 55331 | |||
| City | EXCELSIOR |
| Zip Code | 55331 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EXCELSIOR + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Elizabeth Lynn 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.