Michelle L Kennedy, NP | |
6140 W Curtisian Ave, Ste 200, Boise, ID 83704 | |
(208) 302-0000 | |
(208) 302-0055 |
Full Name | Michelle L Kennedy |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 6140 W Curtisian Ave, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982062857 | NPI | - | NPPES |
A004645 | Other | AR | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | A004645 (Arkansas) | Secondary |
363L00000X | Nurse Practitioner | 57400 (Idaho) | Primary |
Entity Name | Arkansas Heart Hospital Rural Health Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548553811 PECOS PAC ID: 6204004815 Enrollment ID: O20110727000090 |
Mailing Address | Practice Location Address |
---|---|
Michelle L Kennedy, NP 3340 E Goldstone Way, Meridian, ID 83642 Ph: (208) 302-0000 | Michelle L Kennedy, NP 6140 W Curtisian Ave, Ste 200, Boise, ID 83704 Ph: (208) 302-0000 |
Nora M Suarez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222 | |
Dr. Nancy Jane L'heureux, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6259 W Emerald St, Boise, ID 83704 Phone: 208-489-1900 Fax: 208-375-5286 | |
Jennifer Woodburn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-5015 | |
Carl Ciplinski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709 Phone: 208-302-5950 | |
Kathryn Laura Cnossen, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8000 S Federal Way, Boise, ID 83716 Phone: 208-368-2109 | |
Mrs. Chelsea Rose Wallace, RN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9976 W Emerald St, Boise, ID 83704 Phone: 208-229-3742 | |
Natasha Michele King-anderson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 N Armstrong Pl, Boise, ID 83704 Phone: 208-375-5211 |