KENNAMAR-LINN LLC (NPI# 1336684034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336684034 |
| Entity Type | Organization |
| Organization Name | KENNAMAR-LINN LLC |
| Practice Address |
3350 Burberry Pl Saint Cloud FL 34772-8754 |
| Practice Telephone | 4076229603 |
| Practice Fax Number | 3218054915 |
| Mailing Telephone | 4076229603 |
| Mailing Fax Number | 3218054915 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |
| Authorized Official Name | MRS. PEGGY KENNAMER-LINN (OWNER) |
| Authorized Official Telephone | 4076229603 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | MH13013 | FL | Managed Care Organizations |
| Street Address |
3350 BURBERRY PL |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34772-8754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780110940 | Caitlin Smith | Speech-Language Pathologist | 1113 Creek Woods Circle, Saint Cloud, FL 34772 | 2017-05-10 |
| 1073069787 | Yolimar Vazquez | Specialist/Technologist | 2332 Seven Oaks Dr, Saint Cloud, FL 34772 | 2016-09-01 |
| 1881041903 | Diana Barreto | Counselor | 4205 Cracker Ct, St.cloud, FL 34772 | 2016-05-18 |
| 1356713267 | Gilbert Saenz | Counselor | 4622 Mildred Bass Road, St. Cloud, FL 34772 | 2015-10-30 |
| 1841532025 | Origin Hospitality LLC | Assisted Living Facility | 2910 Old Canoe Creek Rd, Saint Cloud, FL 34772 | 2013-03-26 |
| 1912264037 | Mario Gregorio Rodriguez | Skilled Nursing Facility | 3056 Sandstone Circle, St Cloud, FL 34772 | 2012-04-13 |
| 1356479182 | Ramon Roman Jr. | Counselor | 3640 Doe Run Dr., St. Cloud, FL 34772 | 2007-03-01 |
| 1619451085 | Sunny Path Therapy | Speech-Language Pathologist | 1113 Creek Woods Circle, Saint Cloud, FL 34772 | 2018-09-20 |
| 1154807329 | Brunella Denegri | Behavior Technician | 1300 Creekview Ct, Saint Cloud, FL 34772 | 2018-07-11 |
| 1720452436 | Comfortable Care Dental Health Professionals, Pa | Dentist | 2301 Old Canoe Creek Rd, St. Cloud, FL 34772 | 2015-11-18 |
| Find all providers in zip 34772 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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|---|---|---|---|---|
| 1659762169 | Torborg & Kobienia Psychological Services, LLC | Preferred Provider Organization | 1740 W Saint Germain St Ste 200, Saint Cloud, MN 56301-4059 | 2015-02-05 |
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| Find all providers with the same taxonomy | ||||
| City | SAINT CLOUD |
| Zip Code | 34772 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.