DR. JAMES RANDALL KENNEDY MD NPI 1295732733

NPI Information

NPI: 1295732733
Provider Name: DR. JAMES RANDALL KENNEDY, MD
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
1414 59TH ST W
BRADENTON, FL
ZIP 34209
Phone: (941) 792-4544
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DR. James Randall Kennedy, MD is a specialist in Bradenton, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. James Randall Kennedy, MD NPI is 1295732733. 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:

1414 59TH ST W
BRADENTON, FL
ZIP 34209-607
Phone: (941) 792-4544
Fax: (941) 792-2851

The enumeration date for this NPI number is 6/30/2005 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
1	174400000X	Specialist		ME 8167	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	D54672	MEDICARE UPIN	FLORIDA
2	ME8167	OTHER	FLORIDA	LICENSE
3	AK4193621	OTHER	FLORIDA	CONTROLLED SUBSTANCE

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: 1/10/2023

NPI Synchronization or Removal

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