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Deactivated NPI 1548225501 Deactivated / Inactive NPI Female Practitioner

Kathleen A Kennedy , LPN

Licensed Practical Nurse • Two Rivers, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kathleen Kennedy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 20, 2006
NPI Deactivation Date December 15, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Kathleen Kennedy, LPN was a registered Licensed Practical Nurse practicing in Two Rivers, WI. Throughout an active medical career spanning 11 years, Kathleen Kennedy provided care at the practice location at 1519 22ND ST until profile deactivation on 2017-12-15.

Practice Location & Contact Primary Location

Practice Address

1519 22nd St

Two Rivers, WI 54241

Telephone 9205532296

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Two Rivers, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Two Rivers, WI (1775 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WI 13613031

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 15, 2017

Record deactivated on December 15, 2017

NPI Profile Active June 04, 2009

NPI status registered as active in NPPES database

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Updated Practice Location June 04, 2009

Registered at 1519 22ND ST, TWO RIVERS, WI 54241 (Tel: 9205532296)

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Updated Business Mailing Address June 04, 2009

Registered at 1519 22ND ST, TWO RIVERS, WI 54241 (Tel: 9205532296)

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Provider Name / Credentials Updated June 04, 2009

Recorded as KATHLEEN KENNEDY, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2009

Licensed Practical Nurse (License #13613031 in WI)

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Initial NPI Registration & Enumeration April 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548225501
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2006
Last Update: June 04, 2009
Deactivation Date: December 15, 2017

Mailing Address

1519 22nd St

Two Rivers, WI 54241

Phone: 9205532296

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.