Kenneth Edwards

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180010430 Issued in IL

Legal business name

KENNETH EDWARDS

Practice address

2133 W Thomas St
Chicago, IL 60622-3629

Phone

(214) 662-1060

NPI assigned

Aug 10, 2016

Organization subpart

No

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

Authorized official

Name

Kenneth Edwards

Title

Therapist

Phone

(214) 662-1040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1043764897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 W THOMAS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 W THOMAS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223629",
            "telephone_number": "214-662-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH EDWARDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "214-662-1040"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180010430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Kennelly, PMHNP-BC
• Rana Kennelly, NP
• Brandi M Kenner-Bell, M.D.
• Dawn L Kenner I
• Kenneth a Cohen MD
• Kenneth J. Barker, D.D.S P.C.
• Kenneth M Levitan MD SC
• Barbara Jean Kenney, APN
• Jayne Allyson Kenney, PSY.D.
• Kathleen Kenney, PHARMD

• Community/Behavioral Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.