RUSSELL L. KENNEDY D.O. NPI 1316985989

NPI Information

  • NPI: 1316985989
  • Provider Name: RUSSELL L. KENNEDY, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6151 N MAIN STREET RD
    WEBB CITY, MO
    ZIP 64870
  • Phone: (417) 781-0408

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NPI Details

Russell L. Kennedy, D.O. is a family medicine in Webb City, MO with 28 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Russell L. Kennedy, D.O. NPI is 1316985989. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:1998

The provider's business location address is:

6151 N MAIN STREET RD
WEBB CITY, MO
ZIP 64870-189
Phone: (417) 781-0408
Fax: (417) 556-5377

The NPI 1316985989 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Hemoglobin a1c level (HCPCS:83036)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
  • Injection of trigger points, 1-2 muscles (HCPCS:20552)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Automated urinalysis test (HCPCS:81003)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Pneumococcal vaccine, 13-valent (HCPCS:90670)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 6/3/2006 and was last updated on 3/13/2017.

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
1207Q00000XFamily Medicine2001014928MISSOURIYes

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
1H24296MEDICARE UPIN
2200307600CMEDICAIDMISSOURI
3MA3446039MEDICARE PINMISSOURI
41316985989MEDICAIDMISSOURI
5P00800220OTHERMISSOURIRAIL ROAD MEDICARE
6200049470AMEDICAIDMISSOURI

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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