Kelly Lenneman
Kelly Lenneman is a Physician Assistant in Evergreen Park, Illinois. Qualified in 2021, 5 years ago. Practices with Bonaventure Medical Foundation LLC, a 165-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 5
- Licensed in
- IL
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
Evergreen Park, ILNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 2647 S Xenon Way, Lakewood, CO 80228-4941 — (303) 601-0865
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1588338172 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 6, 2021 |
| Last updated in NPPES | December 8, 2021 |
| Certification date | December 8, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Bonaventure Medical Foundation Llc — 165 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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