Kennamar-Linn LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

MH13013 Issued in FL

Legal business name

KENNAMAR-LINN LLC

Practice address

3350 Burberry PL
Saint Cloud, FL 34772-8754

Phone

(407) 622-9603

Fax

(321) 805-4915

NPI assigned

Jan 4, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Peggy Kennamer-Linn, LMHC

Title

Owner

Phone

(407) 622-9603

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1336684034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 BURBERRY PL",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347728754",
            "telephone_number": "407-622-9603",
            "fax_number": "321-805-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 BURBERRY PL",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347728754",
            "telephone_number": "407-622-9603",
            "fax_number": "321-805-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNAMAR-LINN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "KENNAMER-LINN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-622-9603",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "MH13013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Byrne Kellogg, LMHC, A.T.R.
• Sandra Snowden Kellogg, LMHC, NCC
• Jocelyn Kelly, MA, CCC-SLP
• Naomi Lynn Kelly, M.A., CCC-SLP
• Courtney Kempfer
• Peggy Ann Kennamer-Linn
• Matthew Kennedy, RPH
• Keshav RX LLC
• Randee E. Ketner, M.A. CCC-SLP
• Shauna J Keys, ARNP

• Preferred Provider Organization in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.