RICHARD C. KENNERLY PH.D. NPI 1992959761

NPI Information

  • NPI: 1992959761
  • Provider Name: RICHARD C. KENNERLY, PH.D.
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Individual
  • Address: 170 DAVIDSON HWY STE 201
    CONCORD, NC
    ZIP 28027
  • Phone: (704) 659-3541

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NPI Details

Richard C. Kennerly, PH.D. is a clinical neuropsychologist in Concord, NC. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. Richard C. Kennerly, PH.D. NPI is 1992959761. 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:

170 DAVIDSON HWY STE 201
CONCORD, NC
ZIP 28027-255
Phone: (704) 659-3541
Fax: (888) 977-3202

The enumeration date for this NPI number is 11/6/2008 and was last updated on 12/16/2019.

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
1103G00000XClinical Neuropsychologist4561NORTH CAROLINAYes
2103G00000XClinical NeuropsychologistPSY 22288CALIFORNIANo
3103T00000XPsychologistPSY 22288CALIFORNIANo
4103T00000XPsychologist4561NORTH CAROLINANo
5103TC0700XPsychologistClinicalPSY22288CALIFORNIANo
6103TC0700XPsychologistClinical4561NORTH CAROLINANo

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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