Verna Ann Kenneth, BA, LSAA, CMS
Individual provider Active NPI Case Manager/Care Coordinator · Crownpoint, NM
NPI 1972893436 · NPPES record last updated Apr 18, 2011
Key facts
- NPI
- 1972893436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 0138591 (NM)
- Practice address
- North 371 Southwest Highland Drive
Crownpoint, NM 87313 - Phone
- (505) 786-2111
- Fax
- (505) 786-5442
- NPI assigned
- Apr 18, 2011
- 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)
- No
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0138591 | NM | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0138591 | NM | |
| Case Manager/Care Coordinator | 171M00000X | 0138591 | NM | Yes |
Addresses
Primary practice location
North 371 Southwest Highland Drive
Crownpoint, NM 87313
Mailing address
Box 1144
Southwest Highland Drive
Crownpoint, NM 87313-1144
Phone (505) 786-2111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831397488 | Other | NM | BHS |
Other providers in Crownpoint, NM
- Allen Eugene Jones
- Roxane Burch Jones
- David Josephs
- Abraham V Kalathil
- Monica Freund Kaufman
- Kinyaani Home Care LLC
- Donald Kulas
- Shirley Lee
- Maria A Leon-Gandara
- Matthew Liaw
All providers in Crownpoint, NM · Case Manager/Care Coordinator in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2011. 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.