DEEANNA EMMALYNN KENNY (NPI# 1902124266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902124266 |
| Entity Type | Individual |
| Full Name | DEEANNA EMMALYNN KENNY |
| Credential | PA-C |
| Practice Address |
4401 Campus Ridge Dr Ste 1000 Midland MI 48640-6125 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 9898379350 |
| Practice Fax Number | 9898379347 |
| Mailing Telephone | (616) 486-6790 |
| Mailing Fax Number | 6164866702 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601005739 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4069 Lake Dr Se, Suite 117, Grand Rapids, MI 495468816 | 6162677700 | 6162678705 |
| Street Address |
4401 CAMPUS RIDGE DR STE 1000 |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-6125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499456 | Matthew Joseph Rabine | Physical Therapist | 4401 Campus Ridge Dr Ste 1000, Midland, MI 48640-6125 | 2020-08-24 |
| 1992297949 | Jacob Hart | Physical Therapist | 4401 Campus Ridge Dr Ste 1000, Midland, MI 48640-6125 | 2018-06-05 |
| 1881183127 | Kerry Leigh Bishop | Occupational Therapist | 4401 Campus Ridge Dr Ste 1000, Midland, MI 48640-6125 | 2018-05-02 |
| 1528560836 | Kathleen Suzanne Rosen | Physical Therapist | 4401 Campus Ridge Dr Ste 1000, Midland, MI 48640-6125 | 2018-03-02 |
| 1023510617 | Kanwaldeep Kaur Kapoor | Physical Therapist | 4401 Campus Ridge Dr Ste 1000, Midland, MI 48640-6125 | 2018-02-28 |
| 1770997884 | Daniel Diaz | Family Medicine | 4401 Campus Ridge Dr Ste 1000, Midland, MI 48640-6125 | 2014-06-17 |
| 1801170824 | Kathryn A Dush | Physical Therapist | 4401 Campus Ridge Dr Ste 1000, Midland, MI 48640-6125 | 2011-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417509332 | Ananya Das | Physician Assistant | 3600 North Garfield St., Midland, TX 79705 | 2019-07-11 |
| 1023679867 | Michael Daniel Howson | Physician Assistant | 2592 N Tamarack Dr, Midland, MI 48642-7888 | 2019-06-24 |
| 1952865057 | Morgan Elizabeth Sims | Physician Assistant | 4214 Andrews Hwy Ste 110, Midland, TX 79703-4864 | 2019-01-23 |
| 1811470867 | Catherine Rhea Randall | Physician Assistant | 4401 Campus Ridge Dr Ste 2040, Midland, MI 48640-6125 | 2018-09-14 |
| 1568973675 | Eric Lee Wright | Physician Assistant | 111 E Wackerly St Ste B, Midland, MI 48642-7043 | 2017-10-16 |
| 1861917718 | Megan Amanda Dawkins | Physician Assistant | 3501 W Illinois Ave, Midland, TX 79703-5606 | 2017-08-11 |
| 1215485719 | Midland Clinic Pllc | Physician Assistant | 801 Tradewinds Blvd, Ste B, Midland, TX 79706-0000 | 2016-09-14 |
| 1336432046 | Ashley Thrasher Bell | Physician Assistant | 3600 N Garfield, Ttuhsc Pa Program, Midland, TX 79707 | 2011-05-27 |
| 1386959039 | Lori R Benninghoff | Physician Assistant | 1900 W Wall, Suite A, Midland, TX 79701-6534 | 2010-08-18 |
| 1942538327 | Sheri L Mayo | Physician Assistant | 1805 S County Rd 1105, Ste D & E, Midland, TX 79706-5120 | 2009-11-24 |
| Find all providers in MIDLAND | ||||
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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.