MARY KENNEDY


Address: 104 S Front Ave, Prestonsburg, KY 41653-1614
Phone: 6068868572

MARY KENNEDY (NPI# 1871851196) 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) 1871851196
Entity Type Individual
Full Name MARY KENNEDY
Practice Address 104 S Front Ave
Prestonsburg
KY 41653-1614
Practice Telephone 6068868572
Practice Fax Number 6068864433
Mailing Telephone 6068868572
Mailing Fax Number 6068864433
Enumeration Date 2012-04-24
Last Update Date 2012-04-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 373H00000X Day Training/Habilitation Specialist Nursing Service Related Providers

Other Providers MARY KENNEDY

NPI Name Taxonomy Address Enumeration
1336418169 Mary Katherine Kennedy Developmental Therapist 10727 Burr Oak Way, Burke, VA 22015-2414 2011-12-22
1568635738 Mary A Kennedy Speech-Language Pathologist 1801 Alfresco Pl, Louisville, KY 40205-1807 2008-04-09
1518095660 Mary S. Kennedy Social Worker 16 Fayette St, Cambridge, MA 02139-1112 2007-03-01
1053455568 Mary Kathleen Kennedy Speech-Language Pathologist 1613 Ginger Dr, Hideaway, TX 75771-5311 2007-02-16
1578656716 Mary Kennedy Nurse Practitioner 105 E Hack St, Cullom, IL 60929 2006-10-02
1093821894 Mary Kathryn Kennedy Nurse Anesthetist, Certified Registered 1845 S Fm 51 Unit A-2, Decatur, TX 76234-3764 2006-08-22
1992750517 Mary Kay Kennedy Social Worker 363 South Harlan Street, Suite 200, Denver, CO 80226-3552 2006-05-23
1972563757 Mary M Kennedy Social Worker 181 W Professional Park Ct, Suite 1, Bowling Green, KY 42104-3250 2006-03-24
1861479636 Mary Theresa Kennedy Psychologist 217-04 Northern Blvd, Ste 16, Bayside, NY 11361-3500 2005-12-22
1518471226 Mary Kennedy Counselor 1010 Remington Plz, Raymore, MO 64083-8640 2017-11-17

Office Location

Street Address 104 S FRONT AVE
City PRESTONSBURG
State KY
Zip Code 41653-1614

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225020332 Manmohan Pothuloori Psychiatry & Neurology 104 S Front Ave, Prestonsburg, KY 41653-1614 2005-08-16
1982203477 Tiffany Gipson Counselor 104 S Front Ave, Prestonsburg, KY 41653-1614 2020-10-26
1932708427 Yvonne House Community Health Worker 104 S Front Ave, Prestonsburg, KY 41653-1614 2020-10-26
1649879529 Kari Steele Registered Nurse 104 S Front Ave, Prestonsburg, KY 41653-1614 2020-10-21
1730788712 Megan Stansberry Community Health Worker 104 S Front Ave, Prestonsburg, KY 41653-1614 2020-10-21
1235738238 Ashley Blackburn Community Health Worker 104 S Front Ave, Prestonsburg, KY 41653-1614 2020-10-21
1851990824 Kelsey Sizemore Community Health Worker 104 S Front Ave, Prestonsburg, KY 41653-1614 2020-10-21
1538768536 Anthony Barrett Community Health Worker 104 S Front Ave, Prestonsburg, KY 41653-1614 2020-10-21
1790384048 Lakin Kirk Counselor 104 S Front Ave, Prestonsburg, KY 41653-1614 2020-10-19
1568061976 Shawna Edwards Community Health Worker 104 S Front Ave, Prestonsburg, KY 41653-1614 2020-10-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568094670 Commonwealth Community Care Centers, LLC Obstetrics & Gynecology 156 North Lake Drive, Prestonburg, KY 41653 2020-02-06
1336781152 Toni Coleman Counselor 104 South Front Ave, Prestonsburg, KY 41653 2019-10-14
1063070043 Beverly Jane Daniel Nurse Practitioner 5230-ky-321#8, Prestonsburg, KY 41653 2019-06-04
1760966519 Mackenzie Alvarez Counselor 104 South Front Avenue, Prestonsburg, KY 41653 2018-09-18
1427409739 Css Rehab Services Early Intervention Provider Agency 165 Ridgewood Drive, Prestonsburg, KY 41653 2016-06-28
1356745509 Rosanna Mccoy Counselor 105 Trimble Chapel Square, Prestonsburg, KY 41653 2014-10-17
1770828766 Mary Whitney Amburgey Physical Therapist 5000 Ky-321, Prestonsburg, KY 41653 2012-12-03
1750648168 Cynthia Crase Social Worker 311 N Arnold Ave Ste 504, Prestonsburg, KY 41653 2012-04-23
1003107566 Shane Hensley Pharmacist 152 Collins Circle, Prestonsburg, KY 41653 2011-05-02
1659607018 Paul Michael Burchett Pharmacist 5291 Ky Rte 321, Prestonsburg, KY 41653 2009-10-20
Find all providers in zip 41653

Taxonomy Information

Taxonomy Code 373H00000X
Grouping Nursing Service Related Providers
Classification Day Training/Habilitation Specialist

Taxonomy Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053424705 Haley Marie Hammond Day Training/Habilitation Specialist 40 Greenhouse Ln, Rt 321 Auxier Rd, Prestonsburg, KY 41653-9180 2006-08-16
1073626727 Eileen Schepers Day Training/Habilitation Specialist 40 Greenhouse Rd, Rt 321 Auxier Rd, Prestonsburg, KY 41653 2006-08-16
1952861718 Deborah Johnson Day Training/Habilitation Specialist 104 S Front Ave, Prestonsburg, KY 41653-1614 2019-03-20
1679830061 Ronda Butcher Day Training/Habilitation Specialist 104 S Front Ave, Prestonsburg, KY 41653-1614 2012-04-23
1457506990 Greta Smith Day Training/Habilitation Specialist 104 S Front Ave, Prestonsburg, KY 41653-1614 2008-11-25
1780834085 Jennifer Bowling Day Training/Habilitation Specialist 104 S Front Ave, Prestonsburg, KY 41653-1614 2008-09-23
1942450259 Lindsay Cooley Day Training/Habilitation Specialist 104 S Front Ave, Prestonsburg, KY 41653-1614 2008-09-23
1487833166 Darrell Riffe Day Training/Habilitation Specialist 40 Greenhouse Ln, Rt 321 Auxier Rd, Prestonsburg, KY 41653-9180 2007-10-30
1164601886 Shannon Charles Day Training/Habilitation Specialist 40 Greenhouse Ln, Rt 321 Auxier Road, Prestonsburg, KY 41653-9180 2007-10-30
1861693178 John Cox Day Training/Habilitation Specialist 104 S Front Ave, Prestonsburg, KY 41653-1614 2007-05-31
Find all providers in PRESTONSBURG

Competitor

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City PRESTONSBURG
Zip Code 41653

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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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