DR. ISAAC J KENNEDY MD NPI 1235413030

NPI Information

NPI: 1235413030
Provider Name: DR. ISAAC J KENNEDY, MD
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
1 MEDICAL CENTER DRIVE
DEPARTMENT OF EMERGENCY MEDICINE
MORGANTOWN, WV
ZIP 26506
Phone: (304) 293-2436
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DR. Isaac J Kennedy, MD is a pediatric emergency medicine pediatrics in Morgantown, WV. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Isaac J Kennedy, MD NPI is 1235413030. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 MEDICAL CENTER DRIVE
DEPARTMENT OF EMERGENCY MEDICINE
MORGANTOWN, WV
ZIP 26506
Phone: (304) 293-2436

The NPI 1235413030 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/28/2011 and was last updated on 4/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		27418	NEBRASKA	No
2	208000000X	Pediatrics		A118536	CALIFORNIA	No
3	2080P0204X	Pediatrics	Pediatric Emergency Medicine	30469	OKLAHOMA	No
4	2080P0204X	Pediatrics	Pediatric Emergency Medicine	04-39698	KANSAS	No
5	2080P0204X	Pediatrics	Pediatric Emergency Medicine	30226	WEST VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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