MR. DAVID LLOYD KENNEDY JR. (NPI# 1073021481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073021481 |
| Entity Type | Individual |
| Full Name | MR. DAVID LLOYD KENNEDY JR. |
| Practice Address |
330 Round Hill Rd Salem CT 06420-3832 |
| Practice Telephone | 8606251048 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467935361 | David Paul Kennedy | Social Worker | 22 Manion Rd, Hyde Park, MA 02136-3834 | 2018-09-07 |
| 1518258755 | David Patrick Kennedy | Ophthalmology | 4224 Houma Blvd Ste 100, Metairie, LA 70006-2934 | 2011-04-21 |
| 1770722928 | David E Kennedy | Occupational Therapist | 17800 Caddy Dr, Derwood, MD 20855-1004 | 2009-02-11 |
| 1619157518 | David Richard Kennedy | Pharmacist | 8530 Transit Rd, Williamsville, NY 14221-2836 | 2007-11-07 |
| 1265580351 | David Mark Kennedy | Dentist | 69160 Ramon Road Suite #100, Cathedral City, CA 92234 | 2007-01-08 |
| 1730103821 | David Kennedy | Physical Therapist | 1220 Camino Del Llano, Belen, NM 87002-2727 | 2006-07-26 |
| 1215929229 | David R Kennedy | Internal Medicine | 7450 Kessler St, Ste 300, Merriam, KS 66204 | 2005-08-16 |
| 1376153122 | David Peter Kennedy | Physical Therapy Assistant | 3110 Scott Cir, Omaha, NE 68112-2604 | 2020-08-06 |
| 1093214892 | David Kennedy | Social Worker | 62 Grant Street, Grant Street Partnership, New Haven, CT 06519-0651 | 2018-02-07 |
| 1710341953 | David Kennedy | Peer Specialist | 232 Nw 6th Ave, Portland, OR 97209-3609 | 2016-04-13 |
| Street Address |
330 ROUND HILL RD |
| City | SALEM |
| State | CT |
| Zip Code | 06420-3832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265945257 | Molly Giannattasio | Occupational Therapist | 11 Center Street Suite 6, Salem, CT 06420 | 2017-11-13 |
| 1558354902 | Mary Ann S Pudimat | Anesthesiology | 61 Emerald Glen Lane, Salem, CT 06420 | 2005-08-31 |
| 1184648925 | Karen S Williams | Nurse Practitioner | 25 Witch Meadow Rd, Salem, CT 06420-3602 | 2006-07-26 |
| 1114312162 | Nancy Rodgers | Counselor | 147 Way Rd, Salem, CT 06420-3716 | 2015-04-06 |
| 1164410601 | Gardner Lake Volunteer Fire Company | Ambulance | 429 Old Colchester Rd, Salem, CT 06420-3748 | 2005-10-10 |
| 1619228202 | Salem Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 20 Hartford Rd Ste 16, Salem, CT 06420-3800 | 2012-09-24 |
| 1063418234 | Alla Gorenbeyn | Dentist | 20 Hartford Rd, Suite 34, Salem, CT 06420-3800 | 2005-06-22 |
| 1982120333 | Salem Pharmacy LLC | Pharmacy | 20 Hartford Rd Ste 16, Salem, CT 06420-3800 | 2017-08-17 |
| 1447462338 | Joan D Rankowitz | Dental Hygienist | 20 Hartford Rd, Suite 34, Salem, CT 06420-3800 | 2007-05-04 |
| 1417175977 | Michele Lee Sauvageau-krahn | Dental Hygienist | 20 Hartford Rd, Salem, CT 06420-3800 | 2007-04-23 |
| Find all providers in zip 06420 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992354435 | Christopher J Sousa | Specialist/Technologist | 10 Gibney Cir, Salem, NH 03079-4406 | 2019-09-07 |
| 1295236081 | Melissa Trainor | Specialist/Technologist | 64 Salem St, Salem, MA 01970-4935 | 2018-02-27 |
| 1508372202 | Meghan Elizabeth Claflin | Specialist/Technologist | 225 Canal St, Salem, MA 01970-4554 | 2017-12-18 |
| 1437678265 | Kaitlyn Quigley | Specialist/Technologist | 28 Dearborn St, Salem, MA 01970-2451 | 2017-09-13 |
| 1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
| 1912437534 | Shawna Regan | Specialist/Technologist | 64 Butler St, Salem, MA 01970 | 2017-06-15 |
| 1740729409 | Adam Tolley | Specialist/Technologist | 353 Glen Creek Rd Nw, Salem, OR 97304-3000 | 2017-02-14 |
| 1174066534 | Stephen Navarra | Specialist/Technologist | 1392 E Pershing St, Salem, OH 44460-2337 | 2016-12-02 |
| 1104274489 | Dakota Deamicis | Specialist/Technologist | 7777 W. Middletown Rd, Salem, OH 44460 | 2016-05-27 |
| 1154789824 | Emma Titus | Specialist/Technologist | 63a Proctor St, Salem, MA 01970-2108 | 2016-02-09 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.