MS. SARA ELLEN KENNEDY RNC NPI 1235196304

NPI Information

  • NPI: 1235196304
  • Provider Name: MS. SARA ELLEN KENNEDY, RNC
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • Address: 2200 BERGQUIST DR
    ATTN: CREDENTIALS (CMS)
    LACKLAND A F B, TX
    ZIP 78236
  • Phone: (210) 292-6115

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NPI Details

MS. Sara Ellen Kennedy, RNC is a women's health nurse practitioner in Lackland A F B, TX. MS. Sara Ellen Kennedy, RNC NPI is 1235196304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2200 BERGQUIST DR
ATTN: CREDENTIALS (CMS)
LACKLAND A F B, TX
ZIP 78236-908
Phone: (210) 292-6115
Fax: (210) 292-6158

The enumeration date for this NPI number is 5/1/2006 and was last updated on 7/8/2007.

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
1363LW0102XNurse PractitionerWomen's Health566098TEXASYes

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: 11/21/2025

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