Russell L Kennedy (NPI# 1316985989, PAC ID# 6406809557) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1316985989 |
| PAC ID by PECOS | 6406809557 |
| Professional Enrollment ID | I20050301000355 |
| Full Name | Russell L Kennedy |
| Organization Legal Name | MERCY CLINIC JOPLIN LLC |
| Address |
6151 N Main St Rd Mercy Clinic Joplin Stone's Corner Webb City MO 64870-8189 |
| Phone Number | 4177810408 |
| Gender | M |
| Credential | DO |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0547300196 |
| Number of Group Practice Members | 222 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260001 | MERCY HOSPITAL JOPLIN |
| 261338 | MERCY HOSPITAL CARTHAGE |
| 260137 | FREEMAN HEALTH SYSTEM-FREEMAN WEST |
| Address | Phone | Organization |
|---|---|---|
| 6151 N Main St Rd, Mercy Clinic Joplin Stone's Corner, Webb City, MO 64870-8189 | 4177810408 | MERCY CLINIC JOPLIN LLC |
| Organization Legal Name | MERCY CLINIC JOPLIN LLC |
| Physicians | 206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha L Mcfarland | Nurse Practitioner | Mercy Clinic Joplin LLC | 1717 S Range Line Rd B, Mc Family Medicine Rangeline, Joplin, MO 64804-3224 |
| Ezinnaya Ubagharaji | Internal Medicine | Mercy Clinic Joplin LLC | 202 E 50th St, Mc Internal Medicine 50th Street, Joplin, MO 64804-4527 |
| Justin J Dillingham | Family Medicine | Mercy Clinic Joplin LLC | 3126 S Jackson Ave, 200 Mc Lab and Imaging Services S Jackson, Joplin, MO 64804-2500 |
| Patricia C. Ridings | Nurse Practitioner | Mercy Clinic Joplin LLC | 805 Barker Dr, Oswego, KS 67356-9034 |
| Thad L Taylor | Nurse Practitioner | Mercy Clinic Joplin LLC | 100 Mercy Way, Mercy Clinic Joplin Emergency Medic, Joplin, MO 64804-4524 |
| Benjamen H Williams | Family Medicine | Mercy Clinic Joplin LLC | 220 N Pennsylvania Ave, Mc Heart Care Columbus, Columbus, KS 66725-1110 |
| Crystal M Taylor | Nurse Practitioner | Mercy Clinic Joplin LLC | 111 E 7th St, Galena, KS 66739-1229 |
| Patrick J. Stangeby | Psychiatry | Mercy Clinic Joplin LLC | 5615 W 32nd St, St Johns Clinic Joplin Psychiatry, Joplin, MO 64804-8161 |
| Trina M Larery | Nurse Practitioner | Mercy Clinic Joplin LLC | 1300 E Centennial Dr, Via Christi Mercy Clinic LLC, Pittsburg, KS 66762-6650 |
| Johnny L Venter | Pulmonary Disease | Mercy Clinic Joplin LLC | 115 W 12th St, Lamar, MO 64759-1756 |
| Street Address |
6151 N MAIN ST RD MERCY CLINIC JOPLIN STONE'S CORNER |
| City | WEBB CITY |
| State | MO |
| Zip | 64870-8189 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krystal M August | Nurse Practitioner | Mercy Clinic Joplin LLC | 6151 N Main St Rd, Mercy Clinic Joplin Stone's Corner, Webb City, MO 64870-8189 |
| Glen W King | Family Medicine | Mercy Clinic Joplin LLC | 6151 N Main St Rd, Mercy Clinic Joplin Stone's Corner, Webb City, MO 64870-8189 |
| Samantha Helene Mcroy | Nurse Practitioner | Mercy Clinic Joplin LLC | 6151 N Main St Rd, Mercy Clinic Joplin Stone's Corner, Webb City, MO 64870-8189 |
| Janet K Frazier | Nurse Practitioner | Mercy Clinic Joplin LLC | 6151 N Main St Rd, Mercy Clinic Joplin Stone's Corner, Webb City, MO 64870-8189 |
| John M Derfelt | Nurse Practitioner | Mercy Clinic Joplin LLC | 6151 N Main St Rd, Mercy Clinic Joplin Stone's Corner, Webb City, MO 64870-8189 |
| Teyoni Tuck | Nurse Practitioner | Mercy Clinic Joplin LLC | 6151 N Main St Rd, Mercy Clinic Joplin Stone's Corner, Webb City, MO 64870-8189 |
| Jordan Elizabeth Lefevers | Nurse Practitioner | Mercy Clinic Joplin LLC | 6151 N Main St Rd, Webb City, MO 64870-8189 |
| Amber Ashley Buffalow | Nurse Practitioner | Mercy Clinic Joplin LLC | 6151 N Main St Rd, Mercy Clinic Joplin Stone's Corner, Webb City, MO 64870-8189 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Keith Hamlin | Family Medicine | 1001 W Daugherty St, Webb City, MO 64870-1717 | |
| Jackie S Beene | Family Medicine | Sgoh Acquisition Inc | 112 N Webb St, Webb City, MO 64870-1916 |
| Hailey N Burpo | Chiropractic | 26 S Main St, Webb City, MO 64870-2379 | |
| Katlyn Jo Douglas | Physical Therapy | Serc Rehabilitation Partners LLC | 501 S Madison St L, Serc Webb City, Webb City, MO 64870-2426 |
| William Randolph Bowling | Physical Therapy | Serc Rehabilitation Partners LLC | 501 S Madison St L, Serc Webb City, Webb City, MO 64870-2426 |
| Joshua James Reed | Physical Therapy | Serc Rehabilitation Partners LLC | 501 S Madison St L, Serc Webb City, Webb City, MO 64870-2426 |
| Rodney L Carson | Chiropractic | 1010 S Madison St E, Webb City, MO 64870-2501 | |
| Larry D Frack | Chiropractic | 1506 S Madison, Webb City, MO 64870-2901 | |
| Rajendrakumar I Patel | Internal Medicine | 1206 W Fountain Rd, Webb City, MO 64870-3206 | |
| William G Davis Ii | Nurse Practitioner | Professional Urgent Care LLC | 6055 N Main St Rd, Webb City, MO 64870-7219 |
| Find all physicians in zip 64870 | |||
| City | WEBB CITY |
| Zip Code | 64870 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WEBB CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Russell 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.