KATHERINE MARIE HOLBROOK KENNEDY MS CPNP-PC CPNP-AC NPI 1013626530

NPI Information

  • NPI: 1013626530
  • Provider Name: KATHERINE MARIE HOLBROOK KENNEDY, MS, CPNP-PC, CPNP-AC
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 1522 CLAREMONT AVE
    ASHLAND, OH
    ZIP 44805
  • Phone: (419) 207-0607

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NPI Details

Katherine Marie Holbrook Kennedy, MS, CPNP-PC, CPNP-AC is a pediatrics nurse practitioner in Ashland, OH. Katherine Marie Holbrook Kennedy, MS, CPNP-PC, CPNP-AC NPI is 1013626530. 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:

1522 CLAREMONT AVE
ASHLAND, OH
ZIP 44805-533
Phone: (419) 207-0607

The enumeration date for this NPI number is 11/23/2022 and was last updated on 3/4/2025.

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
1363LA2100XNurse PractitionerAcute CareAPRN.CNP.0027336OHIONo
2363LP0200XNurse PractitionerPediatricsAPRN.CNP.0027336OHIOYes

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
10008830MEDICAIDOHIO

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

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