Mary K Kennedy (NPI# 1093821894, PAC ID# 2668571977) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
| Nation Provider ID (NPI) | 1093821894 |
| PAC ID by PECOS | 2668571977 |
| Professional Enrollment ID | I20070627000741 |
| Full Name | Mary K Kennedy |
| Address |
4210 Kell Blvd Wichita Falls TX 76309-4821 |
| Phone Number | 9407231441 |
| Gender | F |
| Graduation Year | 1993 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| Group Practice PAC ID | 0941270516 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450827 | KELL WEST REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4210 Kell Blvd, Wichita Falls, TX 76309-4821 | 9407231441 | |
| 4210 Kell Blvd, Suite 200, Wichita Falls, TX 76309-4821 | 9407231441 |
| Street Address |
4210 KELL BLVD |
| City | WICHITA FALLS |
| State | TX |
| Zip | 76309-4821 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roy York | Optometry | Dr. Laura Stancik, Optometrist, P. C. | 4210 Kell Blvd, Suite 108, Wichita Falls, TX 76309-4813 |
| Kyleigh G Mckeever | Optometry | Dr. Laura Stancik, Optometrist, P. C. | 4210 Kell Blvd, Suite 108, Wichita Falls, TX 76309-4813 |
| Laura Stancik | Optometry | Dr. Laura Stancik, Optometrist, P. C. | 4210 Kell Blvd, Suite 108, Wichita Falls, TX 76309-4813 |
| James G Poston | Anesthesiology | 4210 Kell Blvd, Wichita Falls, TX 76309-4821 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine Padakandla | Internal Medicine | 4842 Tortuga Trl, Wichita Falls, TX 76309-1228 | |
| John William Hayley | Optometry | Hayley Eye Clinic, P.C. | 1901 Kemp Blvd, Wichita Falls, TX 76309-3959 |
| Joe C. Hayley | Optometry | Hayley Eye Clinic, P.C. | 1901 Kemp Blvd, Wichita Falls, TX 76309-3959 |
| Jodi H Streich | Optometry | Hayley Eye Clinic, P.C. | 1901 Kemp Blvd, Wichita Falls, TX 76309-3959 |
| Terry L Kirkland | Optometry | Hayley Eye Clinic, P.C. | 1901 Kemp Blvd, Wichita Falls, TX 76309-3959 |
| Phillip J Stephan | Plastic and Reconstructive Surgery | 2200 Kell Blvd, Wichita Falls, TX 76309-4401 | |
| Lee E Ackley | Physician Assistant | Kell West Family Practice Clinic | 4412 Kell W Blvd, Wichita Falls, TX 76309-4719 |
| Patricia M Ackley | Physician Assistant | Kell West Family Practice Clinic | 4412 Kell W Blvd, Wichita Falls, TX 76309-4719 |
| John R Reneau | Physical Therapy | Reneau Rehab PC | 2500 Kemp Blvd, Wichita Falls, TX 76309-5347 |
| Craig R Mcbride | Physical Therapy | Reneau Rehab PC | 2500 Kemp Blvd, Wichita Falls, TX 76309-5347 |
| Find all physicians in zip 76309 | |||
| City | WICHITA FALLS |
| Zip Code | 76309 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
| City + Specialty | WICHITA FALLS + CERTIFIED REGISTERED NURSE ANESTHETIST |
Please comment or provide details below to improve the information on Mary K Kennedy.
| 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.