Colleen Renee Kennedy

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

9300 Valley Childrens PL
Madera, CA 93636-8762

Phone

(559) 353-3000

NPI assigned

Apr 29, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1902460504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 BEMIS HEIGHTS PL",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633031752",
            "telephone_number": "636-697-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368762",
            "telephone_number": "559-353-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "COLLEEN",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarbjeet Kaur, FNP
• Kayhan Bangash MD Medical Corporation
• Jason Keledjian, D.D.S.
• Judy Ann Kelley, NP
• Denay Lynn Kelly, NP
• Rhonda M. Keosheyan, M.D.
• Laurel Kepner, PMHNP-BC
• Nancy Ellen Kerr, LCSW
• Margie Kertzman, LCSW
• Jeel Murjibhai Kesaria

• Genetic Counselor (M.S.) in Madera, CA
• Providers in Madera, CA by specialty
• Genetic Counselor (M.S.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.