| Samantha Kennedy, | |
|
129 Hedin Ave, Red Wing, MN 55066-1907 | |
| (651) 212-7429 | |
| (507) 446-0431 |
| Full Name | Samantha Kennedy |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 129 Hedin Ave, Red Wing, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952938896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Fernbrook Family Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659483915 PECOS PAC ID: 3870872914 Enrollment ID: O20170531000278 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Kennedy, 2575 Harvest Ln, Owatonna, MN 55060-4305 Ph: (507) 446-0431 | Samantha Kennedy, 129 Hedin Ave, Red Wing, MN 55066-1907 Ph: (651) 212-7429 |
Callum Doucette, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 Tyler Rd S, Red Wing, MN 55066 Phone: 651-977-5001 | |
Regina R Mulder, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 Tyler Rd S, Red Wing, MN 55066 Phone: 651-977-5001 | |
Denise Charlotte Morcomb, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 | |
Nicole J. Ramstad, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2835 S Service Dr Ste 103, Red Wing, MN 55066 Phone: 651-327-2270 Fax: 651-327-2270 | |
Mr. Adam Garcia, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 Plum St, Armory Center Suite 220, Red Wing, MN 55066 Phone: 651-385-0600 Fax: 651-388-2129 | |
Jodie Lynne Weiss, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 217 Plum St Ste 220, Red Wing, MN 55066 Phone: 651-846-9009 Fax: 651-444-3292 | |
Katharine Anne Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 Tyler Rd S, Red Wing, MN 55066 Phone: 651-977-5001 |