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NPI Code Detail

MEDICARE: LAURA A KENNEY MSN, RN, ANP, CWOCN

MEDICARE:   LAURA A KENNEY  MSN, RN, ANP, CWOCN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner2926MN
2363LA2200XAdult Health Nurse PractitionerR155558-3MN

General Provider Information

NPI Number : 1932337953
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA A KENNEY MSN, RN, ANP, CWOCN
Provider Business Mailing Address
First Line : 1700 UNIVERSITY AVE W
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-3727
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2945 HAZELWOOD ST STE 200
Second Line :
City : MAPLEWOOD
State : MN
Zip : 55109-1243
Country : US
Telephone Number : 651-232-0707
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2009
Last Update Date : 01/13/2025

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Directions to “ LAURA A KENNEY MSN, RN, ANP, CWOCN” Practice Location

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