James A Kennedy, MD | |
1321 W Dakota Pkwy, Williston, ND 58801-3807 | |
(701) 572-7711 | |
(701) 572-2283 |
Full Name | James A Kennedy |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1321 W Dakota Pkwy, Williston, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225102304 | NPI | - | NPPES |
1452078 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 7410 (North Dakota) | Primary |
Entity Name | Trinity Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083653752 PECOS PAC ID: 7911816020 Enrollment ID: O20031106000316 |
Mailing Address | Practice Location Address |
---|---|
James A Kennedy, MD Po Box 5010, Minot, ND 58702-5010 Ph: (701) 857-5650 | James A Kennedy, MD 1321 W Dakota Pkwy, Williston, ND 58801-3807 Ph: (701) 572-7711 |
Mark A Olson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1321 W Dakota Pkwy, Williston, ND 58801 Phone: 701-572-7711 Fax: 701-572-2283 | |
William J Brunsman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 Main, Williston, ND 58801 Phone: 701-572-7711 Fax: 701-572-2283 | |
William E Code, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1102 Main, Williston, ND 58801 Phone: 701-572-7711 Fax: 701-572-2283 | |
Dr. Lynn M Nyquist, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7470 Fax: 701-774-7479 | |
Brittany Bertsch, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1321 W Dakota Pkwy, Williston, ND 58801 Phone: 701-418-8000 | |
Ryan M Siewert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1321 W Dakota Pkwy, Williston, ND 58801 Phone: 701-572-7711 Fax: 701-572-2283 |