Kennedy, Jerone Danuel

Kennedy, Jerone Danuel is an individual health care provider with primary practice located at 1200 6Th Ave N Centracare Clinic, Saint Cloud MN 56303-2735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Kennedy, Jerone Danuel can be contacted via phone (757) 388-6115.

Contact Information

Primary practice address
1200 6Th Ave N Centracare Clinic Saint Cloud MN 56303-2735
Phone: (757) 388-6115
Fax: (757) 388-6116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 0101254590 Virginia
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 39807 Minnesota

Profile Details

NPI number 1780644401
LBN Legal business name Kennedy, Jerone Danuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Mar 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780644401 NPPES
Wisconsin Other 53379020 WISCONSIN MEDICAL BOARD
Wisconsin Other 39807 WISCONSIN MEDICAL BOARD

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