SUSAN LYNN KEARNEY MD NPI 1154375061

NPI Information

NPI: 1154375061
Provider Name: SUSAN LYNN KEARNEY, MD
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
2525 CHICAGO AVENUE SOUTH
SUITE CSC-175
MINNEAPOLIS, MN
ZIP 55404
Phone: (612) 813-5940
Get Directions

Susan Lynn Kearney, MD is a pediatric hematology-oncology pediatrics in Minneapolis, MN. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Susan Lynn Kearney, MD NPI is 1154375061. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2525 CHICAGO AVENUE SOUTH
SUITE CSC-175
MINNEAPOLIS, MN
ZIP 55404
Phone: (612) 813-5940
Fax: (612) 813-6325

The NPI 1154375061 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 12/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		216985	MASSACHUSETTS	No
2	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	216985	MASSACHUSETTS	No
3	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	48930	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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