Kim Marie Kennedy, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

142248 Issued in WI

Practice address

W8500 Breezy Point Rd
Beaver Dam, WI 53916-9265

Phone

(920) 382-9958

NPI assigned

Feb 15, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1043550833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W8500 BREEZY POINT RD",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539169265",
            "telephone_number": "920-382-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W8500 BREEZY POINT RD",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539169265",
            "telephone_number": "920-382-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "142248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Kalsbeek, APSW
• Peggy A Katsma, NP
• Jamie Kazmarek, COTA
• Janice Kathryn Hamachek Kellner
• Shannon Michelle Kelly, MSW
• Owen C Kennedy
• Bridget M Kilbride, PA-C
• Mary Leigh Kirschbaum, M.S./CCC-SLP
• Jennifer L Klueger, PA-C
• Kluewer Chiropractic, Inc

• Registered Nurse in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.