KAREN E KENNEDY MD PA NPI 1033145560

NPI Information

NPI: 1033145560
Provider Name: KAREN E KENNEDY MD PA
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
1118 GULF BREEZE PKWY
STE. 201
GULF BREEZE, FL
ZIP 32561
Phone: (850) 916-7766
Get Directions

KAREN E KENNEDY MD PA is a gynecology obstetrics gynecology in Gulf Breeze, FL. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee KAREN E KENNEDY MD PA NPI is 1033145560. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1118 GULF BREEZE PKWY
STE. 201
GULF BREEZE, FL
ZIP 32561-800
Phone: (850) 916-7766
Fax: (850) 916-5144

The provider's authorized official is Karen E Kennedy .
The authorized official title is President and has the following contact phone number (850) 916-7766.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 2/22/2012.

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	207VG0400X	Obstetrics & Gynecology	Gynecology	ME75325	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0701115	OTHER	FLORIDA	UNITED HEALTH CARE
2	58754	OTHER	FLORIDA	BS FLORIDA
3	AD696	OTHER	FLORIDA	MEDICARE GRP EFF 10-2-06
4	261713700	MEDICAID	FLORIDA
5	21149353644	OTHER	FLORIDA	BEECH STREET
6	7856118	OTHER	FLORIDA	AETNA
7	10D0270871	OTHER	FLORIDA	CMS CLIA
8	H23995	MEDICARE UPIN	FLORIDA
9	DG1413	OTHER	FLORIDA	RR MEDICARE GP#
10	59041231KEN	OTHER	FLORIDA	BS ALABAMA

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: 5/5/2024

NPI Synchronization or Removal

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