Jennifer Rose Carney, MD
Individual provider Active NPI Family Medicine Physician · Fort Riley, KS
NPI 1922015155 · NPPES record last updated Apr 26, 2023
Key facts
- NPI
- 1922015155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 03810 (SD)
- Practice address
- 650 Huebner Rd
Fort Riley, KS 66442-4030 - Phone
- (719) 524-4306
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03810 | SD | MD | Family Medicine Physician |
| TP862 | KY | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 03810 | SD | Yes |
Addresses
Primary practice location
650 Huebner Rd
Fort Riley, KS 66442-4030
Mailing address
1650 Cochrane Cir
Fort Carson, CO 80913-4613
Phone (719) 524-4306
Other providers in Fort Riley, KS
- Brian David Calkins
- Jesus Camacho Maldonado
- Steven Camacho
- Byron E Capps
- Joseph Carmona
- Scott Michael Carpenter
- Laudino Manuel Castillo-Rojas
- Kimberly Cavanagh
- Susan Marie Cebula
- Brenda L Cervantes
All providers in Fort Riley, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.