AMANDA MARIE KENNEDY APRN NPI 1336779305

NPI Information

NPI: 1336779305
Provider Name: AMANDA MARIE KENNEDY, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: ADVOCATES FOR A HEALTHY COMMUNITY, INC

PECOS Registration: Yes

Address:
440 E TAMPA ST
SPRINGFIELD, MO
ZIP 65806
Phone: (417) 851-1551
Get Directions

Amanda Marie Kennedy, APRN is a family nurse practitioner in Springfield, MO with 5 years of experience. Amanda Marie Kennedy, APRN NPI is 1336779305. 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:

440 E TAMPA ST
SPRINGFIELD, MO
ZIP 65806-131
Phone: (417) 851-1551
Fax: (417) 865-3479

The NPI 1336779305 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 1/18/2020 and was last updated on 12/8/2020.

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	363LF0000X	Nurse Practitioner	Family	123431	ARKANSAS	No
2	363LF0000X	Nurse Practitioner	Family	2020040255	MISSOURI	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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