COLLEEN A KENNEDY MD NPI 1821190679

NPI Information

  • NPI: 1821190679
  • Provider Name: COLLEEN A KENNEDY, MD
  • Classification: Orthopaedic Surgery - 207XS0114X
  • Specialization: Adult Reconstructive Orthopaedic Surgery
  • Entity Type: Individual
  • Address: 3301 WOODBURN RD #208
    ANNANDALE, VA
    ZIP 22003
  • Phone: (703) 560-9495

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NPI Details

Colleen A Kennedy, MD is an adult reconstructive orthopaedic surgery orthopaedic surgery in Annandale, VA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. Colleen A Kennedy, MD NPI is 1821190679. 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:

3301 WOODBURN RD #208
ANNANDALE, VA
ZIP 22003-200
Phone: (703) 560-9495
Fax: (703) 698-7237

The enumeration date for this NPI number is 9/2/2006 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
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryVIRGINIAYes

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
1B98901MEDICARE UPIN
200B308F50MEDICARE ID-TYPE UNSPECIFIED

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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