DR. COLLEEN M KENNEDY (NPI# 1366547317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366547317 |
| Entity Type | Individual |
| Full Name | DR. COLLEEN M KENNEDY |
| Credential | M.D. |
| Practice Address |
6401 El Verde Rd San Antonio TX 78238-2323 |
| Mailing Address |
10910 Bar X Trl Helotes TX 78023-4043 |
| Practice Telephone | 2106470003 |
| Practice Fax Number | 2105725772 |
| Mailing Telephone | 2106951658 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
H7313 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1352759-10 | 05 | |
| TX | TX MEDICAL LICENCE | H7317 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861863219 | Colleen Kennedy | Occupational Therapist | 214 Dylan Ln, Phoenixville, PA 19460-4770 | 2015-10-12 |
| 1508897810 | Colleen I Kennedy | Surgery | 1309 Ridge Rd, Suite 109, Rockwall, TX 75087-4206 | 2006-07-05 |
| 1902460504 | Colleen Renee Kennedy | Genetic Counselor, MS | 9300 Valley Childrens Pl, Madera, CA 93636-8762 | 2019-04-29 |
| 1861989378 | Colleen L Kennedy | Social Worker | 980 S Tower Rd, Fergus Falls, MN 56537-5505 | 2018-04-19 |
| 1083014278 | Colleen Kennedy | Specialist | 1801 Grand Island Blvd, Grand Island, NY 14072-2249 | 2014-08-26 |
| 1649571753 | Colleen H Kennedy | Physical Therapist | 1000 Broadway, Chelsea, MA 02150-2247 | 2010-11-04 |
| 1134449077 | Colleen Kennedy | Midwife | 2700 Remington Ave Ste 2000, Baltimore, MD 21211 | 2010-06-02 |
| 1982767299 | Colleen Anne Kennedy | Chiropractor | 1s376 Summit Ave, Court B Suite 2a, Oakbrook Terrace, IL 60181-3985 | 2006-12-18 |
| 1679661755 | Colleen Kennedy | Physical Therapist | 8901 Kennedy Blvd, North Bergen, NJ 07047-5344 | 2006-10-11 |
| 1821190679 | Colleen A Kennedy | Orthopaedic Surgery | 3301 Woodburn Rd #208, Annandale, VA 22003-1200 | 2006-09-02 |
| Street Address |
6401 EL VERDE RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78238-2323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383259 | Dialysis Clinic Inc. | Clinic/Center | 6146 Wurzbach Road, San Antonio, TX 78238 | 2020-07-09 |
| 1043857360 | Danielle Renee De Luna | Counselor | 5505 Lost Lane, San Antonio, TX 78238 | 2019-12-05 |
| 1013444777 | Avery Rodriguez | Physical Therapy Assistant | 5270 Bandera Rd Ste 14, San Antonio, TX 78238 | 2017-05-12 |
| 1760898894 | Silas Pimentel | Physical Therapist | 5720 Bandera Rd Ste 14, San Antonio, TX 78238 | 2014-07-09 |
| 1942550553 | Stanley Toh Forze | Registered Nurse | 6933 Border Brk Apt 1910, San Antonio, TX 78238 | 2012-09-12 |
| 1891004032 | Texan Smile Dentistry 3 PC | Dentist | 5983 Bandera Rd., San Antonio, TX 78238 | 2010-10-06 |
| 1275847683 | Deborah Michelle Solorzano | Dentist | 5715 Evers Road, San Antonio, TX 78238 | 2010-07-28 |
| 1932436326 | Campos Family Dental, P.C. | Dentist | 6140 Wurzbach Road, San Antonio, TX 78238 | 2009-11-06 |
| 1063665495 | Benjamino L Granato | Durable Medical Equipment & Medical Supplies | 6415 Bandera, San Antonio, TX 78238 | 2008-10-29 |
| 1891962262 | Gerald L Froemming | Dentist | 6436 Bandera Road, #1, San Antonio, TX 78238 | 2008-05-14 |
| Find all providers in zip 78238 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235450107 | Dr. Jesus G. Garcia, Md, Pa | Internal Medicine | 4423 Nw Loop 410 Ste 101, San Antonio, TX 78229 | 2010-06-15 |
| 1699968560 | Oscar Alberto Iznaola -esquivel | Internal Medicine | 1141 N Loop 1604 E, 105-434, San Antonio, TX 78232-1339 | 2007-08-23 |
| 1386751352 | Michael Joseph Lichtenstein | Internal Medicine | 8300 Floyd Curl Drive, Ut Medicine At San Antonio-geriatrics, San Antonio, TX 78229-4403 | 2006-08-24 |
| 1871607820 | Mark Alan Prange | Internal Medicine | 5007 E Beverly Mae Dr, San Antonio, TX 78229-4940 | 2006-08-18 |
| 1245277300 | Jibrail Kasperkhan | Internal Medicine | 16906 Hidden Oak Woods, San Antonio, TX 78248-1403 | 2006-05-31 |
| 1396705471 | Guilford Robinson | Internal Medicine | 5150 Broadway St, 610, San Antonio, TX 78209-5710 | 2006-03-24 |
| 1275528978 | Joseph John Thayil | Internal Medicine | 4129 Naco Perrin Blvd, San Antonio, TX 78217-2505 | 2005-09-19 |
| 1639162746 | David Robert Wood | Internal Medicine | 4411 E Southcross Blvd, San Antonio, TX 78222-3726 | 2005-08-24 |
| 1528061017 | Sandra E Sanchez-reilly | Internal Medicine | 4502 Medical Dr, San Antonio, TX 78229 | 2005-05-27 |
| 1346669587 | Fahd Alnori M Almohid | Internal Medicine | 7400 Merton Minter St, San Antonio, TX 78229-4404 | 2014-04-15 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78238 |
Please comment or provide details below to improve the information on DR. COLLEEN M KENNEDY.
| 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.