Active NPI
Kay L Breen, M.D.
- Neonatal-Perinatal Medicine Physician
- Willmar, MN
National Provider Identifier
1952470296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 49808-020
- Practice address
- 101 Willmar Ave SW
Willmar, MN 56201-3556 - Phone
- (320) 231-5079
- Fax
- (320) 231-5067
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 49808-020 | WI | Primary |
Addresses
Primary practice location
101 Willmar Ave SW
Willmar, MN 56201-3556
Mailing address
101 Willmar Ave SW
Willmar, MN 56201-3556
Phone (320) 231-5079
Other names 1
- Kay L Ward
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49808-020 | WI | MD | Neonatal-Perinatal Medicine Physician |
| 107842 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404086400000",
"number": "1952470296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 WILLMAR AVE SW",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562013556",
"telephone_number": "320-231-5079",
"fax_number": "320-231-5067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WILLMAR AVE SW",
"city": "WILLMAR",
"state": "MN",
"postal_code": "562013556",
"telephone_number": "320-231-5079",
"fax_number": "320-231-5067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREEN",
"first_name": "KAY",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2014-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "WI",
"license": "49808-020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAY",
"last_name": "WARD",
"middle_name": "L",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Willmar, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.