Ellen Kenney, PA is a
Physician Assistant based in Atlanta, Georgia. Ellen Kenney is licensed to practice in Georgia (license number 11834) and her current practice location is
2220 N Druid Hills Rd Ne, Atlanta, Georgia. She can be reached at her office (for appointments etc.) via phone at
(925) 788-1011.
NPI number for Ellen Kenney is 1548719073 and her current mailing address is 2220 N Druid Hills Rd Ne, Atlanta, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548719073.
Healthcare Provider's Profile
Full Name | Ellen Kenney |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2220 N Druid Hills Rd Ne, Atlanta, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548719073
- Provider Enumeration Date: 09/26/2016
- Last Update Date: 10/09/2024
Medical Identifiers
Medical identifiers for Ellen Kenney such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548719073 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LD005118 (Georgia) | Secondary |
363A00000X | Physician Assistant | 11834 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellen Kenney is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ellen Kenney, PA 2220 N Druid Hills Rd Ne, Atlanta, GA 30329-3117 Ph: () - | Ellen Kenney, PA 2220 N Druid Hills Rd Ne, Atlanta, GA 30329-3117 Ph: (925) 788-1011 |
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