| Mrs Madelyn Kennedy, CPNP-PC | |
|
1011 W Grove St, Suite 120, Kaufman, TX 75142-1882 | |
| (972) 932-1319 | |
| (972) 932-1396 |
| Full Name | Mrs Madelyn Kennedy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 1011 W Grove St, Kaufman, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417345729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 863459 (Texas) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | AP127205 (Texas) | Primary |
| Entity Name | St John Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Madelyn Kennedy, CPNP-PC 1011 W Grove St, Suite 120, Kaufman, TX 75142-1882 Ph: (972) 932-1319 | Mrs Madelyn Kennedy, CPNP-PC 1011 W Grove St, Suite 120, Kaufman, TX 75142-1882 Ph: (972) 932-1319 |
Mrs. Vanessa Lisa Ramsey, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 874 Ed Hall Dr Ste B108, Kaufman, TX 75142 Phone: 972-932-5555 | |
Amanda B Rudolph, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 W Grove St Ste 120, Kaufman, TX 75142 Phone: 972-932-1319 Fax: 972-932-1396 | |
James Mcclintock, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 874 Ed Hall Dr, Kaufman, TX 75142 Phone: 972-932-5557 | |
Gabrielle Haynes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 N Houston St, Kaufman, TX 75142 Phone: 972-932-3108 Fax: 972-932-7007 | |
Katelin Roberts, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 874 Ed Hall Dr, Kaufman, TX 75142 Phone: 972-932-5279 | |
Cynthia Ann Reyes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 N Houston St, Kaufman, TX 75142 Phone: 972-932-7001 Fax: 972-932-7007 | |
Crystal Lucas, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2300 Commerce Way, Kaufman, TX 75142 Phone: 972-932-8555 Fax: 469-770-5094 |