DR. KYLE R. KENNEDY (NPI# 1235295957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235295957 |
| Entity Type | Individual |
| Full Name | DR. KYLE R. KENNEDY |
| Credential | DDS |
| Practice Address |
615 Colonial Dr Baton Rouge LA 70806-6510 |
| Practice Telephone | 2259278664 |
| Practice Fax Number | 2259278665 |
| Mailing Telephone | 2259278664 |
| Mailing Fax Number | 2259278665 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2363 | LA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750794806 | Kyle Kennedy | Physical Therapist | 13 Lexington Dr, Newburgh, NY 12550-1293 | 2014-06-06 |
| 1033612601 | Kyle Kennedy | Pharmacist | 3699 E Broadway Blvd, Tucson, AZ 85716-5400 | 2018-03-09 |
| 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 |
615 COLONIAL DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-6510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477107753 | Christie Nichole Dykes-cooper | Nurse Practitioner | 615 Colonial Dr, Baton Rouge, LA 70806-6510 | 2019-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1508465899 | Exceptional Dental of Highland, LLC | Dentist | 7278 Highland Rd Ste C, Baton Rouge, LA 70808-6604 | 2020-10-19 |
| 1033733746 | Michael P Juban Dds and J Cody Cowen North Apdllc | Dentist | 8670 Airline Highway, Suite A, Baton Rouge, LA 70815 | 2020-05-29 |
| 1659992865 | Justin K Bonaventure Dental Offices, LLC | Dentist | 13702 Coursey Blvd, Bldg 10, Ste C, Baton Rouge, LA 70817-1370 | 2020-04-28 |
| 1639646995 | Michael P Juban Dds and J Cody Cowen North Apdllc | Dentist | 554 Colonial Dr Ste B, Baton Rouge, LA 70806-6552 | 2018-10-25 |
| 1174009633 | Affordable Smiles of Baton Rouge, LLC | Dentist | 1962 Oneal Ln Ste A&b, Baton Rouge, LA 70816-3250 | 2018-07-17 |
| 1154814838 | Hollis Anne Clark | Dentist | 15420 S Harrells Ferry Rd Ste C, Baton Rouge, LA 70816-2933 | 2018-06-07 |
| 1033600804 | Kaitlyn Renee Hawkins | Dentist | 6860 Bluebonnet Blvd, Baton Rouge, LA 70810-1615 | 2018-05-28 |
| 1083136790 | Greesim Loy | Dentist | 13730 Millerville Greens Blvd Ste 1, Baton Rouge, LA 70816-1696 | 2017-07-13 |
| 1346760824 | Michael P Juban Dds and J Cody Cowen North LLC | Dentist | 3557 Monterrey Dr, Baton Rouge, LA 70814-2918 | 2017-06-26 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on DR. KYLE R. KENNEDY.
| 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.