CHAD KENNEDY NPI 1366805178

NPI Information

NPI: 1366805178
Provider Name: CHAD KENNEDY
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: MAHAJAN THERAPEUTICS, LLC

PECOS Registration: Yes

Address:
6300 N MAIN ST
DAYTON, OH
ZIP 45415
Phone: (937) 275-1500
Get Directions

Chad Kennedy is a psychiatric/mental health registered nurse in Dayton, OH with 8 years of experience. Chad Kennedy NPI is 1366805178. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

6300 N MAIN ST
DAYTON, OH
ZIP 45415-154
Phone: (937) 275-1500

The NPI 1366805178 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 3/30/2016 and was last updated on 3/30/2016.

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	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN364934	OHIO	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: 11/14/2023

NPI Synchronization or Removal

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