IndividualActive
Jerone Kennedy, MD
NPI 1780644401 · Neurological Surgery Physician · Saint Cloud, MN
Provider details
- NPI number
- 1780644401
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101254590 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1200 6th Ave N
Centracare Clinic
Saint Cloud, MN 56303-2735
Phone: (757) 388-6115
Fax: (757) 388-6116
Approximate (ZIP-level) locationGet directions
Mailing address
1200 6th Ave N
Saint Cloud, MN 56303-2735
Registry dates
- Enumerated
- 2006-03-25
- Last updated
- 2023-03-27
- Certified
- 2023-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.