MARK S KENNEDY (NPI# 1811028673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811028673 |
| Entity Type | Individual |
| Full Name | MARK S KENNEDY |
| Credential | ARNP-BC |
| Practice Address |
1355 Rocketdyne Rd Neosho MO 64850-3106 |
| Mailing Address |
Po Box 4725 Joplin MO 64803-4725 |
| Practice Telephone | 4174517425 |
| Practice Fax Number | 4174517455 |
| Mailing Telephone | 4174517425 |
| Mailing Fax Number | 4174517455 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2018-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 66851 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 45922 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
141364 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 510 Park St, Anderson, MO 648319280 | 4178450545 | 4178450548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727395 | Mark Thomas Kennedy | Pharmacist | 223 S Lakeshore Dr, Lake City, MN 55041-1642 | 2020-03-31 |
| 1245790948 | Mark Allen Kennedy | Student in an Organized Health Care Education/Training Program | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2019-03-20 |
| 1588156368 | Mark Kennedy | Pharmacist | 790 Veterans Way, Pensacola, FL 32507-1000 | 2018-06-06 |
| 1699189845 | Mark Kennedy | Specialist/Technologist, Other | 707 N Emporia St, Wichita, KS 67214-3707 | 2014-06-16 |
| 1457686636 | Mark Kennedy | Social Worker | 9445 Farnham St Ste 100, San Diego, CA 92123-1308 | 2009-10-06 |
| 1629257357 | Mark H Kennedy | Dentist | 5800 Ridgewood Rd, Suite 104, Jackson, MS 39211-2667 | 2007-10-30 |
| 1972707792 | Mark E Kennedy | Nurse Anesthetist, Certified Registered | 2200 State St, Lawrenceville, IL 62439-1852 | 2007-06-14 |
| 1891864328 | Mark Kennedy | Counselor | 921 E Compton Blvd Fl 1, Compton, CA 90221-3303 | 2006-11-07 |
| 1811948599 | Mark E Kennedy | Ophthalmology | 345 Clyde Morris Blvd, Suite 330, Ormond Beach, FL 32174-3111 | 2006-05-15 |
| Street Address |
1355 ROCKETDYNE RD |
| City | NEOSHO |
| State | MO |
| Zip Code | 64850-3106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164509766 | Robert Leroy Sweeten Jr. | Internal Medicine | 1355 Rocketdyne Rd, Neosho, MO 64850-3106 | 2006-11-01 |
| 1982254371 | Sgoh Acquisition, Inc. | Clinic/Center | 1355 Rocketdyne Rd, Neosho, MO 64850-3106 | 2019-09-17 |
| 1710383559 | Lindsey M Teel | Nurse Practitioner | 1355 Rocketdyne Rd, Neosho, MO 64850-3106 | 2014-11-05 |
| 1407052616 | Robert L Sweeten Md Inc | Internal Medicine | 1355 Rocketdyne Rd, Neosho, MO 64850-3106 | 2007-06-25 |
| 1659588580 | Rodd Rogers | Chiropractor | 1355 Rocketdyne Rd, Neosho, MO 64850-3106 | 2007-05-17 |
| 1518189620 | Chiropractic Health Center LLC | Chiropractor | 1355 Rocketdyne Rd, Neosho, MO 64850-3106 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720526072 | Jamie Emery | Behavioral Analyst | 180 Cemetery Rd, Neosho, MO 64850 | 2017-02-07 |
| 1558809889 | Johnna Burton | Assistant Behavior Analyst | 180 Cemetery Rd., Neosho, MO 64850 | 2017-02-07 |
| 1013368984 | Ozark Tri County Healthcare Consortium | Dentist | 516 W Mccord, Neosho, MO 64850 | 2016-06-22 |
| 1740654615 | Rachel Leah Morrison | Counselor | 3370 Lusk Drive, Neosho, MO 64850 | 2015-11-16 |
| 1417333881 | Spandana Mukka | Dentist | 2040 Laquesta Drive, Neosho, MO 64850 | 2015-08-07 |
| 1548652225 | Darrell W Hedrick Dds LLC | Clinic/Center | 2001 Laquesta Drive, Neosho, MO 64850 | 2015-03-04 |
| 1992119895 | Junior College District of Newton & Mcdonald Co | Social Worker | 180 Cementary Rd, Neosho, MO 64850 | 2014-06-18 |
| 1043539653 | Richard Joseph Betz | Internal Medicine | 20695 Owl Road, Neosho, MO 64850 | 2010-05-21 |
| 1356599641 | Neosho Bone & Joint Clinic P.C. | Specialist | 4040 Laquesta Drive, Neosho, MO 64850 | 2008-08-29 |
| 1477648764 | Timothy G Mitchell | Pharmacist | 1000 S Neosho Blvd, Neosho, MO 64850 | 2006-10-04 |
| Find all providers in zip 64850 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344109 | Kelsey Lynn Hobbs | Nurse Practitioner | 1302 Carlie St, Neosho, MO 64850-1008 | 2020-07-27 |
| 1174184568 | Vickie Lynn Blevins | Nurse Practitioner | 336 S Jefferson St, Neosho, MO 64850-1769 | 2019-06-26 |
| 1730642612 | Katharine Whitekiller | Nurse Practitioner | 336 S Jefferson St, Neosho, MO 64850-1769 | 2019-04-09 |
| 1538669189 | Jacob B Adkison | Nurse Practitioner | 117 E Hickory St, Neosho, MO 64850-1806 | 2018-02-20 |
| 1184178667 | Julie E Hinds | Nurse Practitioner | 2550 Lusk Dr, Neosho, MO 64850-8855 | 2016-08-12 |
| 1710383559 | Lindsey M Teel | Nurse Practitioner | 1355 Rocketdyne Rd, Neosho, MO 64850-3106 | 2014-11-05 |
| 1356755177 | Ashden Nichole Smith | Nurse Practitioner | 2550 Lusk Dr, Neosho, MO 64850 | 2014-06-19 |
| 1215287750 | Kimberly Nguyen | Nurse Practitioner | 117 E Hickory St, Neosho, MO 64850-1806 | 2012-09-12 |
| 1346512696 | Joseph E Lutes IIi | Nurse Practitioner | 4301 Doniphan Dr, Neosho, MO 64850-9120 | 2012-02-02 |
| 1568638112 | Karen Sue Gallemore | Nurse Practitioner | 1504 N Business 71, Neosho, MO 64850-1975 | 2008-05-05 |
| Find all providers in NEOSHO | ||||
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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.