MARIE D. KENNEDY


Address: 2675 Central Ave, Billings, MT 59102-6686
Phone: 4062382500

MARIE D. KENNEDY (NPI# 1881780807) 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) 1881780807
Entity Type Individual
Full Name MARIE D. KENNEDY
Credential PAC
Practice Address 2675 Central Ave
Billings
MT 59102-6686
Mailing Address Po Box 35100
Billings
MT 59107-5100
Practice Telephone 4062382500
Mailing Telephone 4062382500
Enumeration Date 2006-10-05
Last Update Date 2014-12-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 159 MT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MT MDCD PIN 0432769 01
MT BCBS PIN 000091603 01

Other Providers MARIE KENNEDY

NPI Name Taxonomy Address Enumeration
1811543358 Marie Tyla Kennedy Case Manager/Care Coordinator 401 Whitney Ave, Gretna, LA 70056-2558 2019-08-12
1851899140 Marie Antoinette Kennedy Nurse Practitioner 611 E Douglas Rd Ste 208, Mishawaka, IN 46545-1465 2018-02-01

Office Location

Street Address 2675 CENTRAL AVE
City BILLINGS
State MT
Zip Code 59102-6686

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427046713 Robyn Nicole Clausen Optometrist 2675 Central Ave, Suite L-1, Billings, MT 59102-6686 2005-10-11
1083192025 Tyson Vanderby Physician Assistant 2675 Central Ave, Billings, MT 59102-6686 2018-08-01
1952826216 Zachary Alan Halgren Nurse Practitioner 2675 Central Ave, Billings, MT 59102-6686 2017-08-08
1073058731 Jessica Forsch Optometrist 2675 Central Ave, Suite L-1, Billings, MT 59102-6686 2017-01-04
1316325160 Zachary Taylor Dds Pllc Dentist 2675 Central Ave, Suite 10, Billings, MT 59102-6686 2015-05-13
1720405996 Leslie D Taylor Physical Therapist 2675 Central Ave, Billings, MT 59102-6686 2014-03-25
1124450853 Heather Ann Schroder Nurse Practitioner 2675 Central Ave, Billings, MT 59102-6686 2013-08-05
1598105744 Thaddeus Walker Honaker Dentist 2675 Central Ave, Ste 13, Billings, MT 59102-6686 2013-07-02
1669739710 Joseph James Peila Internal Medicine 2675 Central Ave, Billings, MT 59102 2012-04-13
1912288283 Bridget C Eckley Physician Assistant 2675 Central Ave, Billings, MT 59102-6686 2011-08-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700402336 Stephanie Diane Adkins Counselor 1726 Lampman Dr., Billings, MT 59102 2020-06-19
1366072563 Carrie L Barton Assistant Behavior Analyst 1701 Avenue E Suite A, Billings, MT 59102 2020-01-16
1407418080 Lori Lyn Strickler Massage Therapist 2901 Monad Road, Apt. 99, Billings, MT 59102 2019-07-03
1649754300 Native American Development Corporation Clinic/Center 1230 North 30th Street, Billings, MT 59102 2018-09-19
1396235818 Better Times Recovery Services LLC Clinic/Center 1925 Grand Ave Ste 103, Billings, MT 59102 2018-05-10
1982118428 Family Support Network Counselor 1002 10th Street West, Suite 1, Billings, MT 59102 2017-11-20
1598281859 Billings Clinic Specialty Supplies and Services, LLC Durable Medical Equipment & Medical Supplies 1015 Broadwater Ave Ste 102, Billings, MT 59102 2017-08-18
1326564857 Billings Clinic Specialty Supplies and Services, LLC Pharmacy 1015 Broadwater Ave Ste 101, Billings, MT 59102 2017-08-16
1326586124 Bailey K. Wilson Behavior Technician 3101 Lynn Ave., Apt. #3, Billings, MT 59102 2017-02-01
1588108120 Angela Grimm Counselor 1200 30th St W, Billings, MT 59102 2016-12-16
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972019925 Kevin K Davis Jr. Physician Assistant 1101 N 27th St Ste F, Billings, MT 59101-0100 2017-12-28
1154770014 Kristin K. Nelson Baumert Physician Assistant 3737 Grand Ave., Suite 6, Billings, MT 59102-6258 2016-06-10
1508232588 Elliy Phillips Physician Assistant 801 N 29th St Fl 4, Billings, MT 59101-0905 2015-08-13
1366843914 Chad Jason Holgard Physician Assistant 445 Constitution Ave, Billings, MT 59105-1515 2014-09-12
1144528258 Kristine Marie Lippert Physician Assistant 1041 N. 29th Street, Billings, MT 59101 2011-03-14
1720383813 Max D Dangerfield Physician Assistant 2525 4th Ave N, Suite 201, Billings, MT 59101-1312 2011-01-20
1902033442 Amber Dawn Zito Physician Assistant 1020 N 27th St Ste 301, Billings, MT 59101-0756 2009-06-11
1194924621 Matt T Furber Physician Assistant 2900 12th Ave N Ste 265w, Billings, MT 59101-7501 2007-07-14
1356566434 Anne E Burns Physician Assistant 3307 Grand Ave Ste 201, Billings, MT 59102-6551 2007-04-16
1487646949 John L Swanson Physician Assistant 2825 8th Ave N, Billings, MT 59101-0909 2005-08-19
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Competitor

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City BILLINGS
Zip Code 59102

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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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