MR. OWEN C KENNEDY NPI 1598126294

NPI Information

  • NPI: 1598126294
  • Provider Name: MR. OWEN C KENNEDY
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 1807 N CENTER ST
    BEAVER DAM, WI
    ZIP 53916
  • Phone: (920) 887-8751

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NPI Details

MR. Owen C Kennedy is a professional counselor in Beaver Dam, WI. MR. Owen C Kennedy NPI is 1598126294. 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:

1807 N CENTER ST
BEAVER DAM, WI
ZIP 53916-001
Phone: (920) 887-8751

The enumeration date for this NPI number is 3/9/2016 and was last updated on 3/7/2024.

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
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthNo
3101YP2500XCounselorProfessionalNo
4101YP2500XCounselorProfessional7677-125WISCONSINYes

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: 3/30/2025

NPI Synchronization or Removal

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