MR. KEVIN DAVID KENNEDY (NPI# 1215322342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215322342 |
| Entity Type | Individual |
| Full Name | MR. KEVIN DAVID KENNEDY |
| Credential | MD |
| Practice Address |
201 16th Ave E Seattle WA 98112-5226 |
| Mailing Address |
1401 Madison St Suite 100 Seattle WA 98104-1316 |
| Practice Telephone | 2063263000 |
| Practice Fax Number | 2063262785 |
| Mailing Telephone | 2063866111 |
| Mailing Fax Number | 2063866113 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2019-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60760274 | WA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1401 Madison St, Suite 100, Seattle, WA 981041316 | 2063866111 | 2063866113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629399647 | Kevin Chambliss Kennedy Jr. | Dentist | 590 Fire Station Rd Ste C, Clarksville, TN 37043-4016 | 2010-06-14 |
| 1922268788 | Kevin P Kennedy | Specialist | 1100 Garden Hwy., Ste. 900, Yuba City, CA 95991-7598 | 2008-06-13 |
| 1730201310 | Kevin Michael Kennedy | Dentist | 3193 Main St, Bridgeport, CT 06606-4225 | 2007-04-04 |
| 1538245303 | Kevin Mark Kennedy | Dentist | 223 Wisconsin Ave, Waukesha, WI 53186-4926 | 2006-10-27 |
| 1679102263 | Kevin Christopher Kennedy | Student in an Organized Health Care Education/Training Program | 725 North St, Pittsfield, MA 01201-4109 | 2020-04-06 |
| 1548896400 | Kevin Patrick Kennedy | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Psychiatry, Los Angeles, CA 90095-7419 | 2020-03-22 |
| 1851569081 | Kevin Thomas Kennedy | Physician Assistant | 15 Abbey Creek Ct, Care of Usa Medical Services, P.C., East Islip, NY 11730-2223 | 2008-02-11 |
| 1841492568 | Kevin D Kennedy | Physical Therapist | 1200 N State St, Suite 500, Jackson, MS 39202-2000 | 2007-06-04 |
| 1831225838 | Kevin Meers Kennedy | Anesthesiology | 1515 6th Ave S, Cooper Green Hospital, Birmingham, AL 35233-1601 | 2007-02-26 |
| 1649298134 | Kevin S Kennedy | Otolaryngology | 1818 So Union Ave, #2-c, Tacoma, WA 98405-1953 | 2006-07-17 |
| Street Address |
201 16TH AVE E |
| City | SEATTLE |
| State | WA |
| Zip Code | 98112-5226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568468783 | Claudette Thuman Krell | Nurse Practitioner | 201 16th Ave E, Seattle, WA 98112-5226 | 2005-06-22 |
| 1336762640 | Niy Pierce | Radiologic Technologist | 201 16th Ave E, Seattle, WA 98112-5226 | 2020-05-20 |
| 1952922486 | Tae Sun Krishnek | Physical Therapist | 201 16th Ave E, Seattle, WA 98112-5226 | 2020-05-06 |
| 1962030486 | Amanda Marie Teblunthuis | Student in an Organized Health Care Education/Training Program | 201 16th Ave E, Seattle, WA 98112-5226 | 2020-03-30 |
| 1962030676 | Olanrewaju Idris Adekola | Student in an Organized Health Care Education/Training Program | 201 16th Ave E, Seattle, WA 98112-5226 | 2020-03-29 |
| 1184251142 | Shana Kim | Student in an Organized Health Care Education/Training Program | 201 16th Ave E, Seattle, WA 98112-5226 | 2020-03-26 |
| 1083240063 | George Paul Hissong | Pharmacist | 201 16th Ave E, Seattle, WA 98112-5226 | 2020-03-21 |
| 1912530106 | Kaiser Foundation Health Plan of Washington | Pharmacy | 201 16th Ave E, Seattle, WA 98112-5226 | 2020-02-17 |
| 1063043172 | Brian R. Gaynor | Clinic/Center | 201 16th Ave E, Seattle, WA 98112-5226 | 2020-01-28 |
| 1780236836 | Alyssa Gates | Genetic Counselor, MS | 201 16th Ave E, Seattle, WA 98112-5226 | 2019-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254991 | Justin Jeng-young Fu | Student in an Organized Health Care Education/Training Program | 125 16 Th Ave E, Csb 545, Seattle, WA 98112 | 2019-03-18 |
| 1275015604 | Eyewear Gallery LLC | Optometrist | 3121 E. Madison St Ste 102, Seattle, WA 98112 | 2018-09-01 |
| 1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
| 1992228191 | John Joseph Folta | Chiropractor | 3121 E Madison St Ste 103a, Seattle, WA 98112 | 2017-07-19 |
| 1083161061 | Sheick Toure | Counselor | 122 16 Ave E, Seattle, WA 98112 | 2016-09-07 |
| 1457721805 | Jessica Donovan | Audiologist | 201 16th Ave E # Cmb, Seattle, WA 98112 | 2015-09-29 |
| 1952777427 | Ronald Berenson | Physiological Laboratory | 2032 41st Avenue, Seattle, WA 98112 | 2015-08-19 |
| 1225419005 | Adrienne Foley | Counselor | 1833 40th Ave. E., Seattle, WA 98112 | 2015-06-17 |
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1134548068 | Anne Gayman | Family Medicine | 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 | 2014-04-08 |
| Find all providers in zip 98112 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114540457 | Country Doctor Community Clinic | Family Medicine | 2410 E Cherry St, Seattle, WA 98122-4832 | 2020-05-21 |
| 1407476500 | Charles C. Falzon, Md, Pllc | Family Medicine | 24 Roy St # 359, Seattle, WA 98109-4018 | 2020-04-20 |
| 1669028635 | Seattle World School Health Center | Family Medicine | 1700 E Union St, Seattle, WA 98122-4140 | 2019-08-14 |
| 1891350377 | Kaiser Foundation Health Plan of Washington | Family Medicine | 210 9th Ave N, Seattle, WA 98109-5120 | 2019-05-09 |
| 1619436029 | Galilea Medical Group, Pa | Family Medicine | 7527 42nd Ave Ne, Seattle, WA 98115-5101 | 2019-03-15 |
| 1912463670 | Hillman City Medical Pllc | Family Medicine | 3828 S Graham St Suite A, Seattle, WA 98118 | 2019-02-18 |
| 1740769868 | Oasis Medical Group, P.C. | Family Medicine | 301 Union St Unit 21502, Seattle, WA 98111-1623 | 2018-08-09 |
| 1316453608 | William Curchin | Family Medicine | 904 7th Ave Fl 9, Seattle, WA 98104-1132 | 2017-12-21 |
| 1871020933 | Seattle Sports & Regenerative Medicine | Family Medicine | 1000 Dexter Ave N Ste 300, Seattle, WA 98109-3579 | 2017-05-18 |
| 1790210847 | Christina Choung | Family Medicine | 211 Pike St Fl 8, Seattle, WA 98101-2107 | 2017-04-26 |
| Find all providers in SEATTLE | ||||
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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.