MS. KAYLA NICOLE KENNEDY


Address: 22 Pine St, Suite 104, Bristol, CT 06010-6948
Phone: 8605848291

MS. KAYLA NICOLE KENNEDY (NPI# 1467801605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467801605
Entity Type Individual
Full Name MS. KAYLA NICOLE KENNEDY
Credential PA-C
Practice Address 22 Pine St
Suite 104
Bristol
CT 06010-6948
Mailing Address 51 Mohawk St
Waterbury
CT 06706-1911
Practice Telephone 8605848291
Mailing Telephone 2035607008
Enumeration Date 2016-06-08
Last Update Date 2016-06-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
CT Physician Assistants & Advanced Practice Nursing Providers

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1184192379 Kayla Marie Kennedy Behavioral Analyst 139 Charles St, Boston, MA 02114-3282 2018-11-06
1649798687 Kayla Kennedy Nurse Practitioner 201 Old Highway 25 E, Columbiana, AL 35051-9373 2017-08-30
1316324270 Kayla Kennedy Nurse Practitioner 333 Commerce St, Ste. 700, Nashville, TN 37201-1826 2015-04-29
1861628067 Kayla Deann Kennedy Physical Therapist 3730 N Ridge Rd, Ste 500, Wichita, KS 67205-1227 2009-06-03

Office Location

Street Address 22 PINE ST
SUITE 104
City BRISTOL
State CT
Zip Code 06010-6948

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548225527 Joseph Marakovits Internal Medicine 22 Pine St, Suite 304, Bristol, CT 06010-6948 2006-04-20
1154856078 In Bloom Counseling, LLC Counselor 22 Pine St, Suite 205, Bristol, CT 06010-6948 2017-04-28
1669822532 Kristin Somerville Physician Assistant 22 Pine St, Bristol, CT 06010-6948 2016-06-21
1528418720 Melissa Dukich Clinic/Center 22 Pine St, Bristol, CT 06010-6948 2016-06-18
1801257266 Emily Lynch Social Worker 22 Pine St, Bristol, CT 06010-6948 2016-03-14
1104228022 Christopher Tagliavini Physician Assistant 22 Pine St, Bristol, CT 06010-6948 2014-09-23
1245631662 Stephanie Milan Psychologist 22 Pine St, Suite 205, Bristol, CT 06010-6948 2014-09-05
1720491087 Introspective Counseling LLC Marriage & Family Therapist 22 Pine St, Suite 205, Bristol, CT 06010-6948 2014-06-04
1306124409 Deanna Johnson Counselor 22 Pine St, Bristol, CT 06010-6948 2011-07-25
1497989123 Jayme Leigh Mickelson Internal Medicine 22 Pine St, Bristol, CT 06010-6948 2009-05-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457991309 A New Hope Caregiving Alliance LLC Home Health 225 North Main Street - Suite 107, Bristol, CT 06010 2020-01-08
1154981777 Georgianna Sloate Lmft, LLC Marriage & Family Therapist 38 Kelley Street, Bristol, CT 06010 2019-06-17
1962062810 Ariel Morley Urology 15 Riverside Avenue, Bristol, CT 06010 2019-06-13
1013439488 Theresa Rose Manolitsis Student in an Organized Health Care Education/Training Program 170 Pondview Lane, Bristol, CT 06010 2017-07-07
1588103600 Elizabeth Anne Costello Pharmacist 747 Pine Street, Bristol, CT 06010 2017-02-22
1992157903 Aiman Riaz Internal Medicine 41 Brewster Rd # 5161, Bristol, CT 06010 2016-07-01
1346609955 Monika Magdalena Sullivan Nurse Practitioner 122 Maple Street, Bristol, CT 06010 2016-02-11
1346660776 Peter Bellezza Podiatrist 15 Riverside Ave, Bristol, CT 06010 2014-04-24
1487088001 Stephen Alexander Merwin Social Worker 32 Laird Drive, Bristol, CT 06010 2013-08-30
1215369574 In Kyung Lee Dentist 1192 Farmington Ave., Bristol, CT 06010 2013-08-08
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487724936 Mark Steven Mehlferber Physician Assistant 320 Bristol West Blvd Ste 2b, Bristol, TN 37620-8765 2006-11-09
1124051750 Antonio Santoro Physician Assistant Bristol Hospital, Brewster Rd., Bristol, CT 06011-0977 2006-07-08
1457353005 Mark Tabaka Physician Assistant 576 Farmington Ave, Bristol, CT 06010-3933 2005-08-12
1497265573 Brianna Galligan Physician Assistant 501 Bath Rd, Bristol, PA 19007-3101 2017-10-03
1578087375 Hilda M Boateng Physician Assistant 41 Brewster Rd, Bristol, CT 06010-5161 2017-08-02
1669822532 Kristin Somerville Physician Assistant 22 Pine St, Bristol, CT 06010-6948 2016-06-21
1447604954 Carys Roberts Physician Assistant 501 Bath Rd, Bristol, PA 19007-3101 2016-04-20
1437565553 Daniel P Tuohey Physician Assistant 539 Farmington Ave, Bristol, CT 06010-3931 2014-07-09
1427486380 Jaret Williams Physician Assistant 539 Farmington Ave, Bristol, CT 06010-3931 2013-10-30
1417389735 Richard B Ahrens Jr. Physician Assistant 41 Brewster Rd, Bristol, CT 06010-5161 2013-08-09
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Competitor

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City BRISTOL
Zip Code 06010

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Dataset Information

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.

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