MRS. MADELYN KENNEDY CPNP-PC NPI 1417345729

NPI Information

NPI: 1417345729
Provider Name: MRS. MADELYN KENNEDY, CPNP-PC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1011 W GROVE ST
SUITE 120
KAUFMAN, TX
ZIP 75142
Phone: (972) 932-1319
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MRS. Madelyn Kennedy, CPNP-PC is a pediatrics nurse practitioner in Kaufman, TX. MRS. Madelyn Kennedy, CPNP-PC NPI is 1417345729. 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:

1011 W GROVE ST
SUITE 120
KAUFMAN, TX
ZIP 75142-882
Phone: (972) 932-1319
Fax: (972) 932-1396

The NPI 1417345729 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 1/8/2015 and was last updated on 1/8/2015.

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	163W00000X	Registered Nurse		863459	TEXAS	No
2	363LP0200X	Nurse Practitioner	Pediatrics	AP127205	TEXAS	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: 5/5/2024

NPI Synchronization or Removal

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