Carol Vernice Kennerson, CRT,RRT,BS,MSM

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

Practice address

4315 Applewood LN
Matteson, IL 60443-1906

Phone

(708) 296-0614

NPI assigned

Jul 24, 2025

Sex

Female

Sole proprietor

No

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

Credentials

Bachelor of Science

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1104708759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 APPLEWOOD LN",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431906",
            "telephone_number": "708-296-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 APPLEWOOD LN",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431906",
            "telephone_number": "708-296-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNERSON",
        "first_name": "CAROL",
        "middle_name": "VERNICE",
        "credential": "CRT,RRT,BS,MSM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Apostolis Kametas
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• Jonae Kates
• Kaw Transportation LLC
• Renee Kelsey, DT
• Robert P Kenney, LAT
• Thomas S Kilpatrick, PT
• Loryn Chas Kimbrough, LCPC
• Knowing You Health & Wellness (Gillenwater & Associates Educational Consulting)
• Stephanie Kohn, M.ED.

• Registered Respiratory Therapist in Matteson, IL
• Providers in Matteson, IL by specialty
• Registered Respiratory Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.