Edith L Kenna (NPI# 1154358406, PAC ID# 0446212625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1154358406 |
| PAC ID by PECOS | 0446212625 |
| Professional Enrollment ID | I20041029000919 |
| Full Name | Edith L Kenna |
| Organization Legal Name | PARK CENTER INC |
| Address |
909 E State Blvd Fort Wayne IN 46805-3458 |
| Phone Number | 2604812718 |
| Gender | F |
| Credential | CSW |
| Graduation Year | 1994 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 5991794794 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 909 E State Blvd, Fort Wayne, IN 46805-3458 | 2604812718 | PARK CENTER INC |
| Organization Legal Name | PARK CENTER INC |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd M Simmons | Psychiatry | Park Center Inc | 2710 Lake Ave, Fort Wayne, IN 46805-5412 |
| Chelsea Crago | Clinical Social Worker | Park Center Inc | 809 High St, Decatur, IN 46733-2324 |
| Courtney L Washington | Psychologist, Clinical | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Andrea H Naaum | Psychiatry | Park Center Inc | 1909 Carew St, Fort Wayne, IN 46805-4707 |
| Melinda Davis | Clinical Social Worker | Park Center Inc | 2700 Lafayette St, Fort Wayne, IN 46806-1100 |
| Melodie A Gavin | Nurse Practitioner | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Teagan R Rhoades | Physician Assistant | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Melissa Ann Terry | Nurse Practitioner | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Larry H Lambertson | Neuropsychiatry | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Valerie J Rumple | Nurse Practitioner | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Street Address |
909 E STATE BLVD |
| City | FORT WAYNE |
| State | IN |
| Zip | 46805-3458 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney L Washington | Psychologist, Clinical | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Melodie A Gavin | Nurse Practitioner | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Teagan R Rhoades | Physician Assistant | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Melissa Ann Terry | Nurse Practitioner | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Larry H Lambertson | Neuropsychiatry | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Valerie J Rumple | Nurse Practitioner | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Teresa L Roberts | Nurse Practitioner | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Deborah Kay Entenman | Clinical Social Worker | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Daniel Clayton Brewer | Nurse Practitioner | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Paulina Washington | Nurse Practitioner | Park Center Inc | 909 E State Blvd, Fort Wayne, IN 46805-3458 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia R Swank | Optometry | Midwest Eye Consultants PC | 431 W Coliseum, Fort Wayne, IN 46805-1010 |
| Joseph M Mattox | Family Medicine | Parkview Ortho Performance Center LLC | 3946 Ice Way, Parkview Ortho Performance Center, Fort Wayne, IN 46805-1018 |
| Jodi L Chambers | Physician Assistant | Parkview Ortho Performance Center LLC | 3946 Ice Way, Parkview Ortho Performance Center, Fort Wayne, IN 46805-1018 |
| Zubair A Khan | Optometry | Fort Wayne Vision Associates Ltd | 515 E Coliseum Blvd, Fort Wayne, IN 46805-1215 |
| Prevesh K Rustagi | Psychiatry | 3400 E Coliseum Blvd, Suite 340, Fort Wayne, IN 46805-1656 | |
| Syed M Sohail | Internal Medicine | Fort Wayne Medical Clinic PC | 3411 N Anthony Blvd, Suite 2, Fort Wayne, IN 46805-2233 |
| Aaron Christopher Frey | Optometry | Frey Vision Group of Indiana Inc | 3409 N Anthony Blvd, Fort Wayne, IN 46805-2233 |
| Myra R Weber | Optometry | Frey Vision Group of Indiana Inc | 3409 N Anthony Blvd, Fort Wayne, IN 46805-2233 |
| David S Millay | Optometry | Frey Vision Group of Indiana Inc | 3409 N Anthony Blvd, Fort Wayne, IN 46805-2233 |
| Emma Shoemaker | Optometry | Frey Vision Group of Indiana Inc | 3409 N Anthony Blvd, Fort Wayne, IN 46805-2233 |
| Find all physicians in zip 46805 | |||
| City | FORT WAYNE |
| Zip Code | 46805 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | FORT WAYNE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Edith L Kenna.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.