Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerone Danuel Kennedy, MD

Individual provider Neurological Surgery Physician · NPI 1780644401

Jerone Danuel Kennedy, MD is a Neurosurgery in Saint Cloud, Minnesota. Graduated from Stanford University School of Medicine in 1990, 36 years ago. Practices with Centracare Clinic, a 782-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Virginia.

Years since qualifying
36
Trained at
Stanford University School of Medicine
Licensed in
MN, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1200 6th Ave N Centracare Clinic
Saint Cloud, MN 56303-2735
Phone: (757) 388-6115
Fax: (757) 388-6116
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 39807 (MN)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 0101254590 (VA)

Record details

NPI number1780644401
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2006
Last updated in NPPESMarch 27, 2023
Certification dateMarch 27, 2023
Mailing address1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Centracare Clinic — 782 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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