Active NPI
Kenny Dean, RN
- Registered Nurse
- Elizabethtown, KY
National Provider Identifier
1437507209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 9243186
- Practice address
- 102 Noltemeyer Way Apt 2a
Elizabethtown, KY 42701-5959 - Phone
- (585) 690-4975
- NPI assigned
- Jun 2, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9243186 | FL | Primary |
Addresses
Primary practice location
102 Noltemeyer Way Apt 2a
Elizabethtown, KY 42701-5959
Mailing address
102 Noltemeyer Way Apt 2a
Elizabethtown, KY 42701-5959
Phone (585) 690-4975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9243186 | FL | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464825600000",
"number": "1437507209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 NOLTEMEYER WAY APT 2A",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427015959",
"telephone_number": "585-690-4975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 NOLTEMEYER WAY APT 2A",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427015959",
"telephone_number": "585-690-4975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "KENNY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-02",
"last_updated": "2016-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9243186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.