Eric Kennedy

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

1112834 Issued in MN

Practice address

1403 Liddle LN
Hastings, MN 55033-8580

Phone

(651) 387-8647

NPI assigned

Feb 24, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1194471409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 LIDDLE LN",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550338580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 LIDDLE LN",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550338580",
            "telephone_number": "651-387-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MN",
            "license": "1113281",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MN",
            "license": "1112834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Christopher Johnston, DDS
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• Julie Kaminski, DPT
• Katherine V. Conway D.D.S. P. a
• Laura J Keller, PHARMD
• Aaron Joshua Kennell, LGSW
• George P Kerestes, MD
• James E King, H.I.S.
• Meghan Kinsel, DO
• Bradley William Klebs, MD

• Foster Care Agency in Hastings, MN
• Providers in Hastings, MN by specialty
• Foster Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.