Kimberly Ann Hennon, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD057343L Issued in PA

Practice address

100 Medical Blvd
Canonsburg Hospital
Canonsburg, PA 15317

Phone

(724) 745-3077

Fax

(724) 746-8579

NPI assigned

Aug 1, 2005

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1548260573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "address_2": "AGH EMERGENCY ASSOCS",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15212",
            "telephone_number": "412-359-4138",
            "fax_number": "412-359-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL BLVD",
            "address_2": "CANONSBURG HOSPITAL",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "15317",
            "telephone_number": "724-745-3077",
            "fax_number": "724-746-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNON",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-01",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD057343L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1809907000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2235861",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015659650002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healing Hearts Counseling Services LLC
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• Emily S. Heim, MA, MSW, LPC, LCSW
• Julie Hellman, OT
• Rachel C Henney, MA, CCC-SLP
• Alison Hess, LPC
• Carla Addison Higgins, RD
• Dane Hilko
• Leah Megan Himmelrick, FNP-BC
• Wendy Renee Hipsky, RD

• Emergency Medicine Physician in Canonsburg, PA
• Providers in Canonsburg, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.