DR. KATHERINE EDITHE KENNEDY (NPI# 1316290893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316290893 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE EDITHE KENNEDY |
| Credential | DPM |
| Practice Address |
1728 W Glendale Ave Ste 100 Phoenix AZ 85021-8862 |
| Practice Telephone | 4808123668 |
| Practice Fax Number | 4807821290 |
| Mailing Telephone | 4808123668 |
| Mailing Fax Number | 4807821290 |
| Enumeration Date | 2012-10-20 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0818 | AZ | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
135.000790 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | Z179475 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2222 W Division St, Chicago, IL 606222717 | 3127703801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972074060 | Katherine Anne Kennedy | Registered Nurse | 11830 Brandon Oaks, San Antonio, TX 78253-5816 | 2018-12-16 |
| 1871014969 | Katherine Greer Kennedy | Optometrist | 390 Gunter Ave, Guntersville, AL 35976 | 2017-06-29 |
| 1013316041 | Katherine Kennedy | Physical Therapist | 75 Freedom Parkway, Suite E, Pittsboro, NC 27312 | 2014-08-14 |
| 1477991974 | Katherine Patricia Kennedy | Counselor | 1687 Farrington Dr, Dayton, OH 45420-1384 | 2013-06-06 |
| 1639382393 | Katherine Teresa Kennedy | Physical Therapist | 981 Industrial Rd, St B, San Carlos, CA 94070 | 2007-05-08 |
| 1043422280 | Katherine Ann Kennedy | Counselor | 3434 Sw Kelly, Portland, OR 97239-4630 | 2007-05-03 |
| 1144787755 | Katherine Kennedy | Physical Therapist | 2930 Maple St, Everett, WA 98201-3832 | 2019-03-01 |
| 1699281279 | Katherine Schlegel Kennedy | Nurse Practitioner | 4849 E Main St, Columbus, OH 43213-3161 | 2017-12-19 |
| 1184165870 | Katherine Elizabeth Kennedy | Physical Therapist | 5010 State Highway 30, Suite 101, Amsterdam, NY 12010-7532 | 2017-03-14 |
| 1407276124 | Katherine Kennedy | Psychiatry & Neurology | 66 Trumbull St, New Haven, CT 06510-1012 | 2014-04-21 |
| Street Address |
1728 W GLENDALE AVE STE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85021-8862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173181 | Jill M Robinson | Social Worker | 8804 N. 23rd Ave, Bldg. A Ste. A01-a02, Phoenix, AZ 85021 | 2020-10-26 |
| 1528671013 | Sabrina Mcninch | Behavior Technician | 1200 W Dunlap Ave, Ste 100, Phoenix, AZ 85021 | 2020-08-25 |
| 1376169938 | Maricopa County Special Heallth Care District | Pharmacy | 2025 W Northern Ave, Phoenix, AZ 85021 | 2020-06-19 |
| 1841832664 | Madison Westby | Physical Therapist | 717 W Dunlap Ave # 100, Phoenix, AZ 85021 | 2019-10-14 |
| 1861967481 | Southwest Family Naturopathic Clinic Pllc | Naturopath | 1530 W Glendale Ave Suite 103, Phoenix, AZ 85021 | 2018-10-10 |
| 1184101461 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8804 N 23rd Ave, Suite A01/a02, Phoenix, AZ 85021 | 2018-07-19 |
| 1568970150 | Alycia Ann Poloni | Occupational Therapist | 7129 N 23d Ave, Phoenix, AZ 85021 | 2018-01-17 |
| 1154839165 | Cyrus Professional Corporation | Dentist | 2401 W. Glendale Ave, Ste 102, Phoenix, AZ 85021 | 2018-01-12 |
| 1568980779 | Marla Jean Clay | Licensed Practical Nurse | 1717 W. Glendale Ave. Apt. 3011, Phoenix, AZ 85021 | 2017-09-07 |
| 1801325162 | Kaitlin King | Nurse Practitioner | 8824 N 9th Ave, Phoenix, AZ 85021 | 2017-06-08 |
| Find all providers in zip 85021 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285155127 | Priyanka Begur | Podiatrist | 1701 E Thomas Rd Ste 201, Phoenix, AZ 85016-7674 | 2017-06-30 |
| 1861808917 | Amanda Sarah Lernor | Podiatrist | 16841 N 31st Ave Ste 134, Phoenix, AZ 85053-3057 | 2014-07-09 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1790195964 | Melissa Jo Chrisman | Podiatrist | 13838 S 46th Pl Ste 210, Phoenix, AZ 85044-7803 | 2014-04-28 |
| 1669812855 | Zachary Anthony Flynn | Podiatrist | 11209 N Tatum Blvd Ste 100, Phoenix, AZ 85028-3000 | 2013-07-02 |
| 1790044261 | Shylaja N Arya | Podiatrist | 3104 E Indian School Rd Ste 110, Phoenix, AZ 85016-6873 | 2012-05-03 |
| 1811135817 | Bryan James Roth | Podiatrist | 2601 E Roosevelt Ave, Phoenix, AZ 85008-4973 | 2009-01-29 |
| 1548440936 | Arizona Foot & Ankle Care, P.C. | Podiatrist | 3201 W Peoria Ave Ste A200, Phoenix, AZ 85029-4699 | 2007-11-14 |
| 1689793895 | Kelvin S Crezee Dpm PC | Podiatrist | 15810 S 45th St Ste 190, Phoenix, AZ 85048-7697 | 2007-03-28 |
| 1104943711 | Tina Marie Woodburn | Podiatrist | 2606 Brigadoon Rd, Phoenix, MD 21131-1603 | 2007-03-26 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on DR. KATHERINE EDITHE 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.