Mark S Kennedy in Joplin - Nurse Practitioner

Mark S Kennedy - NPI 1811028673

Mark S Kennedy is a Nurse Practitioner in Joplin, Missouri. Mark S Kennedy practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mark S Kennedy is 1811028673. The last update date is 2018-10-05.

Mark S Kennedy's current location address is Po Box 4725, Joplin, Missouri. You can contact this provider via phone number 4174517425 and fax number 4174517455. The mailing address for Mark S Kennedy is Po Box 4725, Joplin, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark S Kennedy
Address Po Box 4725, Joplin, Missouri
Phone Number 4174517425
Fax Number 4174517455
Sole Proprietor N
Credentials ARNP-BC

NPI Number Detail

NPI Number 1811028673
Provider Enumeration Date 2007-03-07
Last Updated Date 2018-10-05

Provider Mailing Address Detail

Address Po Box 4725
City Joplin
State Missouri (MO)
Post Code 648034725
Phone Number 4174517425
Fax Number 4174517455

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No 66851
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

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FAQs about Mark S Kennedy

What is the unique provider identifier assigned to Mark S Kennedy?

The Mark S Kennedy has been issued the NPI (National Provider Identifier) 1811028673 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Mark S Kennedy?

The Mark S Kennedy is situated at Po Box 4725, in the city of Joplin, state of MO, with the zip code 648034725.

What is the Mark S Kennedy's specialty and taxonomy code?

The Mark S Kennedy's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.

When was the Mark S Kennedy's 1811028673 issued?

The Mark S Kennedy's 1811028673 was issued on 2007-03-07.

As of what date were the details related to Mark S Kennedy most recently updated or revised?

The information pertaining to Mark S Kennedy, including its address, specialty, and other relevant details, was last updated or revised on 2018-10-05.

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