Gerald R Kennedy Jr. (NPI# 1154313344, PAC ID# 5799964896) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1154313344 |
PAC ID by PECOS | 5799964896 |
Professional Enrollment ID | I20110121000115 |
Full Name | Gerald R Kennedy Jr. |
Address |
28 N 10th St Oostburg WI 53070-1181 |
Phone Number | 9205646653 |
Gender | M |
Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
Graduation Year | 1985 |
Primary Specialty | CHIROPRACTIC |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
28 N 10th St, Oostburg, WI 53070-1181 | 9205646653 |
Street Address |
28 N 10TH ST |
City | OOSTBURG |
State | WI |
Zip | 53070-1181 |
Name | Specialty | Organization | Address |
---|---|---|---|
Eric J Hartman | Chiropractic | 1205 Wisconsin Ave, Oostburg, WI 53070-1104 | |
Marla Z Wolfert | Gastroenterology | St. Nicholas Hospital-sisters of The Third Order of St Francis | 15 S 10th St, Suite A, Oostburg, WI 53070-1370 |
Rachel L Rautmann | Nurse Practitioner | St. Nicholas Hospital-sisters of The Third Order of St Francis | 15 S 10th St, Suite A, Oostburg, WI 53070-1370 |
Dirk M Dulmes | Chiropractic | Lakeland Chiropractic- Oostburg | 220 S Business Park Dr, Suite A7, Oostburg, WI 53070-1586 |
Wade Spencer Bemis | Chiropractic | Lakeland Chiropractic- Oostburg | 220 S Business Park Dr, Suite A7, Oostburg, WI 53070-1586 |
City | OOSTBURG |
Zip Code | 53070 |
Specialty | CHIROPRACTIC |
City + Specialty | OOSTBURG + CHIROPRACTIC |
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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.