Doctor Name: | REBECCA DEE KENNEDY |
NPI Number: | 1275975252 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | R 132003-5 |
Business Practice Address: | 100 Freeman Dr Saint Peter, MN - 560823504 |
Business Phone Number: | 5073407650 |
Business Fax Number: | |
Mailing Address: | 100 Freeman Dr, SAINT PETER |
State: | MN |
Postal Code: | 560823504 |
Phone Number: | 5073407650 |
Fax Number: | |
NPI Enumeration Date: | 07/19/2013 |
NPI Last Update Date: | 07/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 283Q00000X |
License Number: | R 132003-5 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Psychiatric Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |