Jerone Danuel Kennedy in Saint Cloud - Neurological Surgery

Jerone Danuel Kennedy - NPI 1780644401

Jerone Danuel Kennedy is a Neurological Surgery in Saint Cloud, Minnesota. Jerone Danuel Kennedy practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Jerone Danuel Kennedy is 1780644401. The last update date is 2023-03-27.

Jerone Danuel Kennedy's current location address is 1200 6th Ave N, Saint Cloud, Minnesota. You can contact this provider via phone number 7573886115 and fax number 7573886116. The mailing address for Jerone Danuel Kennedy is 1200 6th Ave N, Saint Cloud, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerone Danuel Kennedy
Address 1200 6th Ave N, Saint Cloud, Minnesota
Phone Number 7573886115
Fax Number 7573886116
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1780644401
Provider Enumeration Date 2006-03-25
Last Updated Date 2023-03-27

Provider Mailing Address Detail

Address 1200 6th Ave N
City Saint Cloud
State Minnesota (MN)
Post Code 563032735
Phone Number 7573886115
Fax Number 7573886116

Provider's Primary Taxonomy Detail

Speciality Neurological Surgery
Taxonomy 207T00000X
Licence No 101254590
Definition:
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
53379020 WI WISCONSIN MEDICAL BOARD
39807 MN MINNESOTA BOARD OF MEDICINE

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FAQs about Jerone Danuel Kennedy

What is the Jerone Danuel Kennedy's unique identification number?

The Jerone Danuel Kennedy has been assigned the NPI (National Provider Identifier) Number 1780644401 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Jerone Danuel Kennedy's facilities are situated?

The facilities of Jerone Danuel Kennedy are physically located at the following address: 1200 6Th Ave N, Saint Cloud, MN, 563032735.

What is Jerone Danuel Kennedy's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jerone Danuel Kennedy's area of specialization is Neurological Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207T00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1780644401 to Jerone Danuel Kennedy?

The Centers for Medicare & Medicaid Services assigned the 1780644401 to Jerone Danuel Kennedy on 2006-03-25.

When was the information regarding Jerone Danuel Kennedy most recently updated?

The details pertaining to the Jerone Danuel Kennedy, including its address, specialty, and other relevant information, were last refreshed on 2023-03-27.

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