Active NPI
Kathryn Rose Kenney, RPH
- Pharmacist
- Dubuque, IA
National Provider Identifier
1831814474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24608
- Practice address
- 2255 John F Kennedy Rd Ste 16
Dubuque, IA 52002-2883 - Phone
- (563) 219-2551
- NPI assigned
- Oct 6, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24608 | IA | Primary |
Addresses
Primary practice location
2255 John F Kennedy Rd Ste 16
Dubuque, IA 52002-2883
Mailing address
4631 Cardinal Dr
Dubuque, IA 52001-8825
Phone (563) 219-2551
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 Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24608 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1831814474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4631 CARDINAL DR",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520018825",
"telephone_number": "563-219-2551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 JOHN F KENNEDY RD STE 16",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520022883",
"telephone_number": "563-219-2551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEY",
"first_name": "KATHRYN",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-06",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "24608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.