MICHAEL PATRICK KENNEDY MD NPI 1972514800

NPI Information

NPI: 1972514800
Provider Name: MICHAEL PATRICK KENNEDY, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
111 SAINT CHARLES ST
CARENCRO, LA
ZIP 70520
Phone: (337) 886-1200
Get Directions

Michael Patrick Kennedy, MD is a family medicine in Carencro, LA. 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. Michael Patrick Kennedy, MD NPI is 1972514800. 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:

111 SAINT CHARLES ST
CARENCRO, LA
ZIP 70520-004
Phone: (337) 886-1200
Fax: (337) 886-0919

The enumeration date for this NPI number is 8/9/2006 and was last updated on 12/9/2009.

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	207Q00000X	Family Medicine		MD018238	LOUISIANA	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	10990532	OTHER		CAQH
2	B63699	MEDICARE UPIN	LOUISIANA
3	F4181	OTHER	LOUISIANA	BLUE CROSS
4	1377104	MEDICAID	LOUISIANA
5	7299329	OTHER		AETNA
6	52226	MEDICARE PIN	LOUISIANA

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: 5/5/2024

NPI Synchronization or Removal

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