KYLE KENNEDY (NPI# 1033612601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033612601 |
| Entity Type | Individual |
| Full Name | KYLE KENNEDY |
| Practice Address |
3699 E Broadway Blvd Tucson AZ 85716-5400 |
| Mailing Address |
5025 N 1st Ave Apt 202 Tucson AZ 85718-5657 |
| Practice Telephone | 6236932786 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S023141 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750794806 | Kyle Kennedy | Physical Therapist | 13 Lexington Dr, Newburgh, NY 12550-1293 | 2014-06-06 |
| 1235295957 | Kyle R. Kennedy | Dentist | 615 Colonial Dr, Baton Rouge, LA 70806-6510 | 2006-12-28 |
| 1689027880 | Kyle Michale Kennedy | Social Worker | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2016-07-22 |
| 1609883909 | Kyle W Kennedy | Emergency Medicine | 1102 West 32nd Street, Joplin, MO 64804 | 2006-08-01 |
| 1114953353 | Kyle Lee Kennedy | Specialist | 5211 W 9th Ave, Amarillo, TX 79106-4120 | 2006-06-22 |
| Street Address |
3699 E BROADWAY BLVD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85716-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154343937 | German Dobson Cvs LLC | Durable Medical Equipment & Medical Supplies | 3699 E Broadway Blvd, Tucson, AZ 85716-5400 | 2006-07-24 |
| 1982155933 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3699 E Broadway Blvd, Tucson, AZ 85716-5400 | 2016-10-14 |
| 1144637760 | Christina Summy | Pharmacist | 3699 E Broadway Blvd, Tucson, AZ 85716-5400 | 2014-07-15 |
| 1952678211 | Rana Ahmad | Pharmacist | 3699 E Broadway Blvd, Tucson, AZ 85716-5400 | 2011-11-30 |
| 1336433614 | Joseph Wayne Mora | Pharmacist | 3699 E Broadway Blvd, Tucson, AZ 85716-5400 | 2011-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063065043 | Kristi Watson Mdpc | Clinic/Center | Hodges Eye Care and Surgical Location, 1502 N. Tucson Blvd, Tucson, AZ 85716 | 2019-07-19 |
| 1639731326 | Leigh-anne Andre | Social Worker | 1135 N. Jones Blvd, Tucson, AZ 85716 | 2019-07-02 |
| 1053802462 | Thomas Scott Mcvean | Technician, Pathology | 718 N Richey Blvd, Tucson, AZ 85716 | 2018-05-21 |
| 1063923787 | Intermountain Health Center, Inc. | Clinic/Center | 3815 E. Monte Vista, Apt. 1101, Tuscon, AZ 85716 | 2017-10-20 |
| 1992224729 | Rocio Fonseca | Counselor | 1014 N Country Club, Tucson, AZ 85716 | 2017-09-13 |
| 1548784473 | Adrian Linda Fait | Speech-Language Pathologist | Child & Family Resources, Inc., 2800 E. Broadway Blvd, Tucson, AZ 85716 | 2017-08-02 |
| 1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
| 1396114211 | Craig Stark | Internal Medicine | 2978 E Greenlee St, Tucson, AZ 85716 | 2015-09-21 |
| 1598142283 | Layla Carol Bradley | Nurse Practitioner | 3832 E. Speedway, Minute Clinic, Tucson, AZ 85716 | 2015-05-01 |
| 1134547813 | Maeve Shaughnessy | Counselor | 2921 E Fort Lowell Rd Ste 207, Tucson, AZ 85716 | 2014-03-31 |
| Find all providers in zip 85716 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999536 | Holly Peterson | Pharmacist | 1020 W Los Altos Rd, Tucson, AZ 85704-4134 | 2020-10-14 |
| 1538775903 | Jasim Mohammad El-ali | Pharmacist | 652 W Camino Del Oro, Tucson, AZ 85704-4720 | 2020-09-21 |
| 1184241242 | Karley Tranchina | Pharmacist | 3220 W Ina Rd Apt 18106, Tucson, AZ 85741-2172 | 2020-07-06 |
| 1386268522 | Melinda Aragon | Pharmacist | 6030 N Desert Sun Ct, Tucson, AZ 85750-0925 | 2020-06-03 |
| 1265070650 | Megan Kristine Spragg | Pharmacist | 2101 N Jacana Loop, Tucson, AZ 85745-3571 | 2019-12-16 |
| 1487206603 | Briana Choi | Pharmacist | 5755 E River Rd Apt 1710, Tucson, AZ 85750-6712 | 2019-07-09 |
| 1073096749 | Tina Marie Evans | Pharmacist | 6250 E Grant Road, Ste #388, Tucson, AZ 85747 | 2018-09-10 |
| 1417437575 | Steven Daniel Menachof | Pharmacist | 3601 S 6th Ave Bldg 57, Tucson, AZ 85723-0001 | 2018-08-17 |
| 1255828273 | Kimberly Grace Stone | Pharmacist | 6906 E Lightning Dr Unit A, Tucson, AZ 85708-1385 | 2018-04-16 |
| 1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.