JUDITH M KENNEDY


Address: 2620 Jackson Blvd, Rapid City, SD 57702-1502
Phone: 6052095540

JUDITH M KENNEDY (NPI# 1831381581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831381581
Entity Type Individual
Full Name JUDITH M KENNEDY
Credential ED.S.
Practice Address 2620 Jackson Blvd
Rapid City
SD 57702-1502
Mailing Address Po Box 238
Lead
SD 57754
Practice Telephone 6052095540
Mailing Telephone 6052095540
Enumeration Date 2007-08-16
Last Update Date 2007-08-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LMFT1183 SD Behavioral Health & Social Service Providers

Other Providers JUDITH KENNEDY

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1881059871 Judith Kennedy Social Worker 5 Arlena Ter, Ramsey, NJ 07446-2501 2015-12-18
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1427035724 Judith A Kennedy Physical Therapist 1175 Grand A Ve, Norwood, CO 81423 2005-12-28
1407455686 Judith Ellen Kennedy Social Worker 17 E Genesee St Ste 1, Auburn, NY 13021-4068 2020-10-20
1669942603 Judith Eileen Kennedy Occupational Therapist 1120 Dunaway St, Miamisburg, OH 45342-3839 2018-12-03
1013262088 Judith Kennedy Home Health Aide 7506 Georgia Ave Nw, Washington, DC 20012-1608 2012-07-17
1134362197 Judith Kennedy Counselor 319 Beech St, Holyoke, MA 01040-3925 2009-04-07
1821263021 Judith Kennedy Counselor 1803 Oregon Pike, Lancaster, PA 17601-6401 2008-04-28
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Office Location

Street Address 2620 JACKSON BLVD
City RAPID CITY
State SD
Zip Code 57702-1502

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275635187 Chad Richard Meyer Dentist 2620 Jackson Blvd, Suite A, Rapid City, SD 57702 2006-09-01
1821501438 Pokorny Chiropractic Clinic, LLC Chiropractor 2620 Jackson Blvd, Rapid City, SD 57702-1502 2017-11-06
1629315932 Jackson Boulevard Dental Associates Dentist 2620 Jackson Blvd, Suite B, Rapid City, SD 57702-1502 2013-01-07
1902110836 Creekside Medical Clinic, Prof. LLC Family Medicine 2620 Jackson Blvd, Suite C, Rapid City, SD 57702-1502 2010-08-03
1447449079 Craig K. Hansen Family Medicine 2620 Jackson Blvd, Suite C, Rapid City, SD 57702-3478 2007-10-19
1194859256 James L. Bockwoldt, Dds, PC Dentist 2620 Jackson Blvd, Suite B, Rapid City, SD 57702-1502 2007-03-14
1730242033 Craig K. Hansen Family Medicine 2620 Jackson Blvd, #c, Rapid City, SD 57702-3478 2006-12-18
1982785580 Kieffer Family Dental Dentist 2620 Jackson Blvd, Suite B, Rapid City, SD 57702-1502 2006-10-18
1437245586 James L Bockwoldt Dentist 2620 Jackson Blvd, Suite B, Rapid City, SD 57702-1502 2006-10-05
1407940232 Richard Meyer Dds PC Dentist 2620 Jackson Blvd, Suite A, Rapid City, SD 57702 2006-10-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366049660 Byrne Dental, Professional LLC Dentist 3825 Canyon Lake Dr, Rapid City, SD 57702 2020-10-08
1427603026 Mikaela Licht Technician 4310 Cedar Ridge Pl. Apt #5, Rapid City, SD 57702 2019-08-09
1932761335 Great Plains Tribal Chairmen's Health Board Pharmacy Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 2019-07-05
1598231334 Regional Health Physicians, Inc. Clinic/Center 1635 Caregiver Circle, Rapid City, SD 57702 2018-10-19
1851813224 Angie Deneire Licensed Practical Nurse 7312 Pinon Jay Circle, Rapid City, SD 57702 2017-07-07
1073063830 Kirsten William-kennedy Dds, Ms, P.C. Dentist 740 Sheridan Lk. Rd. Suite A, Rapid City, SD 57702 2016-10-05
1932558939 Emily T Rausch Physical Therapist 2040 West Main, #212, Rapid City, SD 57702 2016-06-09
1033597810 John Dennis Burke Speech-Language Pathologist 4635 Wentworth Drive, Rapid City, SD 57702 2015-05-12
1013394535 Dakota Regional Periodontics Dentist 2800 Jackson Blvd #6, Rapid City, SD 57702 2015-05-05
1306272414 Lindsy Jo Wathen Speech-Language Pathologist 13232 Klondike Road, Rapid City, SD 57702 2013-09-20
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982219390 Deborah Ann Dobbins Counselor 321 Kansas City St Ste 120, Rapid City, SD 57701-3086 2020-09-11
1053938456 Sarah E Swantner Counselor 1010 9th St Ste 13, Rapid City, SD 57701-3782 2020-07-01
1770125874 Jacob John Folstrom Counselor 2902 W Main St, Rapid City, SD 57702-8132 2019-10-10
1548829161 Jacquelyn Nicole Galles Counselor 4447 S Canyon Rd Ste 5, Rapid City, SD 57702-1889 2019-06-07
1639736572 Nicole Ann Heenan Counselor 518 6th St Ste 4, Rapid City, SD 57701-5000 2019-05-27
1447724745 Monica Brennan Counselor 2811 Wilkie Dr Apt 304, Rapid City, SD 57702-9775 2019-01-20
1184151946 Individual and Family Counseling Counselor 2650 Jackson Blvd # 198, Rapid City, SD 57702-3474 2017-05-11
1679027569 Gammeter&associates LLC Counselor 8008 Pathfinder Pl, Rapid City, SD 57702-9171 2016-08-08
1770944498 Richard Scott Wiley Counselor 4951 Hansen Ln, Rapid City, SD 57703-0147 2016-03-08
1164890661 Torno Mediation & Mental Health Services, LLC Counselor 324 Saint Joseph St Ste 202, Rapid City, SD 57701-2829 2015-09-14
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Competitor

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City RAPID CITY
Zip Code 57702

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Dataset Information

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.

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