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General NPI Number Information
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NPI Number | 1679879571
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Entity Type | Individual
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Provider Name | JESSA KENNEDY NP
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Gender | Female
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Dates
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Enumeration Date | 02/10/2011
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 634 SW MULVANE ST STE 209
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City | TOPEKA
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State | KS
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Zip | 66606-1678
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Country | US
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Telephone | 785-295-5330
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Fax | 785-295-5355
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Provider Business Mailing Address
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Address Line | 1700 SW 7TH ST
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City | TOPEKA
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State | KS
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Zip | 66606-2489
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Country | US
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Telephone | 785-295-8000
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Fax | 785-295-5355
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 188050
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | NP-990139
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 80791
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License Number State | KS
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