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Jay Kelly Kennard, M.D.

Family Medicine in Oneida, WI. Individual provider (NPI-1).

NPI number1851398523
StatusActive
Last updated in NPPESJun 8, 2012

Details

NPI
1851398523
Entity type
Individual (NPI-1)
Name
Jay Kelly Kennard
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 7, 2005
Last updated
Jun 8, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine49185-020WIYes
207Q00000X Family Medicine35.073508OH

Practice location

525 Airport Dr
Oneida, WI 54155-9035

Phone 920-869-2711 · Fax 920-869-1077

Mailing address

Po Box 365
Oneida, WI 54155-0365

Phone 920-869-2711 · Fax 920-869-1077

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Oneida, WI

All 5 Family Medicine Physician providers in Oneida · All 85 providers in Oneida

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