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Contact Information

DIANE L KENNEDY, MD
1601 SIOUX VALLEY DRIVE
LUVERNE, MN56156
 Phone: 507-283-4476
 Fax: 507-283-9086
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DIANE L KENNEDY · (Female)

NPI Number 1316939721
Status Active
Credentials MD
Entity Individual
Enumeration date 08/22/2005
Last updated 03/31/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 34864
  • MN Medicaid 332090100
Hospital affiliation(s)
  • SANFORD WORTHINGTON MEDICAL CENTER - (Acute Care)
    1018 SIXTH AVENUE PO BOX 997
    WORTHINGTON, MN 56187
  • SANFORD LUVERNE MEDICAL CENTER - (Critical Access)
    1600 NORTH KNISS AVENUE P O BOX 1019
    LUVERNE, MN 56156
  • SANFORD USD MEDICAL CENTER - (Acute Care)
    1305 W 18TH ST POST OFFICE BOX 5039
    SIOUX FALLS, SD 57117
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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