Rosemarie A Kennaley (NPI# 1205082211, PAC ID# 9335207943) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1205082211 |
| PAC ID by PECOS | 9335207943 |
| Professional Enrollment ID | I20160908000033 |
| Full Name | Rosemarie A Kennaley |
| Organization Legal Name | PONDERA MEDICAL CENTER |
| Address |
809 Sunset Blvd Conrad MT 59425-1799 |
| Phone Number | 4062713231 |
| Gender | F |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 8921917501 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 271324 | PONDERA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 809 Sunset Blvd, Conrad, MT 59425-1799 | 4062713231 | PONDERA MEDICAL CENTER |
| Organization Legal Name | PONDERA MEDICAL CENTER |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Arends | Physician Assistant | Pondera Medical Center | 809 Sunset Blvd, Conrad, MT 59425-1799 |
| Jay D Taylor | Family Medicine | Pondera Medical Center | 809 Sunset Blvd, Conrad, MT 59425-1799 |
| Norman Lee Walker | Physician Assistant | Pondera Medical Center | 809 Sunset Blvd, Conrad, MT 59425-1799 |
| Aaron Daniel Dahle | Physician Assistant | Pondera Medical Center | 809 Sunset Blvd, Conrad, MT 59425-1799 |
| Edith N Ellsworth | Nurse Practitioner | Pondera Medical Center | 809 Sunset Blvd, Conrad, MT 59425-1799 |
| Patricia J Tygrett Sue | Family Practice | Pondera Medical Center | 809 Sunset Blvd, Conrad, MT 59425-1799 |
| Leonard J Bauer | Family Practice | Pondera Medical Center | 809 Sunset Blvd, Conrad, MT 59425-1799 |
| Street Address |
809 SUNSET BLVD |
| City | CONRAD |
| State | MT |
| Zip | 59425-1799 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David J Arends | Physician Assistant | Pondera Medical Center | 809 Sunset Blvd, Conrad, MT 59425-1799 |
| Jay D Taylor | Family Medicine | Pondera Medical Center | 809 Sunset Blvd, Conrad, MT 59425-1799 |
| Norman Lee Walker | Physician Assistant | Pondera Medical Center | 809 Sunset Blvd, Conrad, MT 59425-1799 |
| Aaron Daniel Dahle | Physician Assistant | Pondera Medical Center | 809 Sunset Blvd, Conrad, MT 59425-1799 |
| Edith N Ellsworth | Nurse Practitioner | Pondera Medical Center | 809 Sunset Blvd, Conrad, MT 59425-1799 |
| Patricia J Tygrett Sue | Family Practice | Pondera Medical Center | 809 Sunset Blvd, Conrad, MT 59425-1799 |
| Leonard J Bauer | Family Practice | Pondera Medical Center | 809 Sunset Blvd, Conrad, MT 59425-1799 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher S Rost | Physician Assistant | Marias Healthcare Services Inc | 805 Sunset Blvd, Pondera Medical Center, Conrad, MT 59425-1717 |
| Heidi L Lynn Hunsucker | Nurse Practitioner | Marias Healthcare Services Inc | 805 Sunset Blvd, Pondera Medical Center, Conrad, MT 59425-1717 |
| Richard J Murack | Chiropractic | In-line Chiropractic Inc | 320 1st Ave Sw, Conrad, MT 59425-1836 |
| Julie L Murack | Chiropractic | In-line Chiropractic Inc | 320 1st Ave Sw, Conrad, MT 59425-1836 |
| Patricia J Grena | Family Medicine | 600 S Main St, Suite 7, Conrad, MT 59425-2532 |
| City | CONRAD |
| Zip Code | 59425 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | CONRAD + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Rosemarie A Kennaley.
| 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.