KAREN MARSHELIA KENNEDY (NPI# 1912926486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912926486 |
Entity Type | Individual |
Full Name | KAREN MARSHELIA KENNEDY |
Credential | MD |
Practice Address |
1246 Madison Se Grand Rapids MI 49507 |
Mailing Address |
245 State St Se Ste 221 Grand Rapids MI 49503 |
Practice Telephone | 6166858300 |
Practice Fax Number | 6166858322 |
Enumeration Date | 2006-07-18 |
Last Update Date | 2012-09-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 4301091353 | MI | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | 224994 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02320634 | 05 | |
BOARD CERTIFICATE # | 114348 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730649831 | Karen Anne Kennedy | Nutritionist | 10015 Ne 339th St, La Center, WA 98629-2853 | 2019-03-23 |
1538571567 | Karen Kennedy | Speech-Language Pathologist | 1224 Brazos Dr, Benbrook, TX 76126-4249 | 2014-05-26 |
1346497781 | Karen Jean Kennedy | Licensed Practical Nurse | S89w35171 Eagle Ter, Eagle, WI 53119-2305 | 2008-08-27 |
1437263878 | Karen Armstrong Kennedy | Dentist | 204 Smith St., Lagrange, GA 30240 | 2006-08-19 |
1154328383 | Karen Ann Kennedy | Audiologist | 10305 Hunting Hills Ave Ne, Hartville, OH 44632-9788 | 2005-07-01 |
1639724065 | Karen Sue Kennedy | Nurse Practitioner | 1111 11th St, Hawarden, IA 51023-1903 | 2019-08-02 |
1598317448 | Karen Jane Kennedy | Registered Nurse | 203 N Washington St Ste 300, Spokane, WA 99201-0254 | 2019-07-11 |
1558893339 | Karen Ann Kennedy | Nurse Practitioner | 2 Longview Ave, Suit 500, White Plains, NY 10601-5000 | 2017-03-30 |
1265856462 | Karen Kennedy | Speech-Language Pathologist | 318 Columbus Ave, Sandusky, OH 44870-2616 | 2014-02-07 |
1700122082 | Karen Kennedy | Physical Therapy Assistant | 8777 Skyway, Paradise, CA 95969-2110 | 2012-12-14 |
Street Address |
1246 MADISON SE |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49507 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487156956 | Kristen Zvirbulis Keeter | Physical Therapist | 625 Kenmoor Ave. Se Ste 306, Grand Rapids, MI 49507 | 2018-03-01 |
1508371758 | Vanessa Woodard | Case Manager/Care Coordinator | 1939 S. Division Ave., Grand Rapids, MI 49507 | 2017-12-11 |
1306350624 | Courtney Nicole Porter | Social Worker | 1979 S Division Ave., Grand Rapids, MI 49507 | 2017-11-22 |
1518496900 | 733 Prince LLC | Custodial Care Facility | 733 Prince St Se, Grand Rapids, MI 49507 | 2017-06-08 |
1720515406 | Tiffanie Ryder | Massage Therapist | 1110 Merrified St, Grand Rapids, MI 49507 | 2017-05-12 |
1619404308 | Shedrice's Afc | Respite Care | 246 Powell Se Ave, Grand Rapids, MI 49507 | 2017-05-12 |
1992171748 | Richard Lavell Flowers | Non-emergency Medical Transport (VAN) | 1447 Elliott, Grand Rapids, MI 49507 | 2015-08-17 |
1982096087 | Jordana Seebeck | Social Worker | 1939 S. Division Se, Grand Rapids, MI 49507 | 2015-02-26 |
1083973135 | Carla May Waite | Social Worker | 1939 South Division, Grand Rapids, MI 49507 | 2012-05-10 |
1740550037 | Jamie Lee Dalton | Social Worker | 2017 College Ave Se, Grand Rapids, MI 49507 | 2012-01-04 |
Find all providers in zip 49507 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083239974 | Mercy Health Partners | Family Medicine | 826 Parchment Dr Se Ste 210, Grand Rapids, MI 49546-2307 | 2020-06-16 |
1740810563 | Spectrum Health Primary Care Partners | Family Medicine | 435 Ionia Ave Sw, Grand Rapids, MI 49503-5161 | 2020-01-21 |
1932748050 | Alexander Corcoran Pa-c LLC | Family Medicine | 2340 College Ave Se, Grand Rapids, MI 49507-3108 | 2020-01-06 |
1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
1619463775 | Zlex, Pllc | Family Medicine | 847 Parchment Dr Se Ste 100, Grand Rapids, MI 49546-2303 | 2018-07-02 |
1558856518 | Leland Cary Gyr | Family Medicine | 25 Michigan St Ne Ste 5300, Grand Rapids, MI 49503-2515 | 2018-06-22 |
1982126355 | Jeffrey Dufresne | Family Medicine | 300 Lafayette Ave. Se, Grand Rapids, MI 49503 | 2017-07-07 |
1386165157 | Samantha V Mcpharlin | Family Medicine | 300 Lafayette Ave Se Ste 400, Grand Rapids, MI 49503 | 2017-07-03 |
1639699481 | Andrew R Izzo | Family Medicine | 3200 Eagle Park Dr Ne Ste 102, Grand Rapids, MI 49525-7057 | 2017-06-22 |
1871908970 | Marc Arenas | Family Medicine | 245 Cherry St Se Ste 200, Grand Rapids, MI 49503 | 2014-06-26 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49507 |
Please comment or provide details below to improve the information on KAREN MARSHELIA KENNEDY.
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.