Staci Nichole Kenner (NPI# 1104088061, PAC ID# 6901055086) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1104088061 |
| PAC ID by PECOS | 6901055086 |
| Professional Enrollment ID | I20121004000625 |
| Full Name | Staci Nichole Kenner |
| Organization Legal Name | CARTERSVILLE OB/GYN ASSOCIATES |
| Address |
958 A Joe Frank Harris Pkwy Suite 102 Cartersville GA 30120-2129 |
| Phone Number | 7703864824 |
| Gender | F |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1355332685 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 958 A Joe Frank Harris Pkwy, Suite 102, Cartersville, GA 30120-2129 | 7703864824 | CARTERSVILLE OB/GYN ASSOCIATES |
| Organization Legal Name | CARTERSVILLE OB/GYN ASSOCIATES |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel M Barfield | Obstetrics/gynecology | Cartersville Ob/gyn Associates | 958 A Joe Frank Harris Pkwy, Suite 102, Cartersville, GA 30120-2129 |
| Hugo D Ribot Jr. | Obstetrics/gynecology | Cartersville Ob/gyn Associates | 958 A Joe Frank Harris Pkwy, Suite 102, Cartersville, GA 30120-2129 |
| Street Address |
958 A JOE FRANK HARRIS PKWY SUITE 102 |
| City | CARTERSVILLE |
| State | GA |
| Zip | 30120-2129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel M Barfield | Obstetrics/gynecology | Cartersville Ob/gyn Associates | 958 A Joe Frank Harris Pkwy, Suite 102, Cartersville, GA 30120-2129 |
| Hugo D Ribot Jr. | Obstetrics/gynecology | Cartersville Ob/gyn Associates | 958 A Joe Frank Harris Pkwy, Suite 102, Cartersville, GA 30120-2129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Patterson | Chiropractic | 1010 N Tn St, Suite 116, Cartersville, GA 30120 | |
| Timothy J Lin | Pulmonary Disease | Respiratory Consultants of Georgia LLC | 21 Pointe N Dr, Cartersville, GA 30120 |
| Rebekah Smithey | Nurse Practitioner | Respiratory Consultants of Georgia LLC | 21 Pointe N Dr, Cartersville, GA 30120 |
| Angel T Brown | Pulmonary Disease | Respiratory Consultants of Georgia LLC | 21 Pointe N Dr, Cartersville, GA 30120 |
| Jill L Kachinsky | Chiropractic | 607 N Tennessee St, Cartersville, GA 30120-1697 | |
| Quyen Ta | Nurse Practitioner | Lavender Inpatient Services LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Clifford N Grossman | Interventional Radiology | Summit Radiology Services PC | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| Brandon C Grinage | Anesthesiology | Sheridan Anesthesia Services of North Georgia, PC | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| David B Warren | Obstetrics/gynecology | Harbin Clinic LLC | 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 |
| Dan Wiener | Pathology | Etowah Pathology Associates LLC | 960 Joe Frank Harris Sepkwy, Cartersville, GA 30120-2129 |
| Find all physicians in zip 30120 | |||
| City | CARTERSVILLE |
| Zip Code | 30120 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | CARTERSVILLE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Staci Nichole Kenner.
| 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.