Cherry Kennedy, LPN is a
Licensed Practical Nurse based in Booneville, Mississippi. Cherry Kennedy is licensed to practice in Mississippi (license number P124257) and her current practice location is
301 N Fifth St, Booneville, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 728-5894.
NPI number for Cherry Kennedy is 1861560310 and her current mailing address is 301 N Fifth St, Booneville, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861560310.
Provider's Profile
| Full Name | Cherry Kennedy |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 301 N Fifth St, Booneville, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861560310
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Cherry Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861560310 | NPI | - | NPPES |
| 00770367 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | P124257 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cherry Kennedy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Cherry Kennedy, LPN 301 N Fifth St, Booneville, MS 38829-2611 Ph: (662) 728-5894 | Cherry Kennedy, LPN 301 N Fifth St, Booneville, MS 38829-2611 Ph: (662) 728-5894 |
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