DR. MICHELE KENNEDY (NPI# 1275600504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275600504 |
| Entity Type | Individual |
| Full Name | DR. MICHELE KENNEDY |
| Credential | DO |
| Practice Address |
621 Kelly Rd Cumberland MD 21502-2878 |
| Mailing Address |
14312 Old Lake Dr Sw Cumberland MD 21502-5877 |
| Practice Telephone | 3017223270 |
| Mailing Telephone | 3016973535 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | H0065454 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245508738 | Michele Denise Kennedy | Speech-Language Pathologist | 2761 Cloverbank Rd, Hamburg, NY 14075-5518 | 2011-12-12 |
| 1922610963 | Michele M Kennedy | Counselor | 115 Forestview Ln N, Plymouth, MN 55441-5910 | 2020-08-20 |
| 1548699234 | Michele Kennedy | Case Manager/Care Coordinator | 18316 Middlebelt Rd, Livonia, MI 48152-5007 | 2013-11-04 |
| 1629097365 | Michele Renee Kennedy | Physician Assistant | Madigan Army Medical Ctr, 9040 Reid St Attn: Mchj-qcr, Tacoma, WA 98431-1100 | 2006-07-19 |
| Street Address |
621 KELLY RD |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-2878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093714057 | Raymond E Banfer | Family Medicine | 621 Kelly Rd, Cumberland, MD 21502-2878 | 2005-07-20 |
| 1720601313 | Hannah Mackenzie Metz | Registered Nurse | 621 Kelly Rd, Cumberland, MD 21502-2878 | 2020-05-19 |
| 1598135659 | Janell Sioma | Nurse Practitioner | 621 Kelly Rd, Cumberland, MD 21502-2878 | 2015-10-01 |
| 1851780365 | Angelina Musselman | Nurse Practitioner | 621 Kelly Rd, Cumberland, MD 21502-2878 | 2015-01-21 |
| 1659709277 | Tri-state Community Health Center, Inc | Nurse Practitioner | 621 Kelly Rd, Cumberland, MD 21502-2878 | 2013-10-16 |
| 1841625654 | Danielle Ayers Henchey | Nurse Practitioner | 621 Kelly Rd, Cumberland, MD 21502-2878 | 2013-09-11 |
| 1154684074 | Andrew Wilcox | Family Medicine | 621 Kelly Rd, Cumberland, MD 21502-2878 | 2012-06-18 |
| 1710198494 | Sharmila Matippa | Family Medicine | 621 Kelly Rd, Cumberland, MD 21502-2878 | 2007-05-24 |
| 1225079098 | Terry Ellen Harvey | Nurse Practitioner | 621 Kelly Rd, Cumberland, MD 21502 | 2006-06-10 |
| 1457301939 | Tri-state Community Health Center, Inc | Clinic/Center | 621 Kelly Rd, Cumberland, MD 21502-2878 | 2006-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245676733 | Cumberland Valley Family Medicine LLC | Family Medicine | 30a N Mechanic St, Cumberland, MD 21502-2314 | 2013-05-11 |
| 1053443978 | Donn R Quinn | Family Medicine | 2130 Mendon Rd, Suite 3-333, Cumberland, RI 02864-3844 | 2007-03-09 |
| 1740317890 | Donald Frederick Manger | Family Medicine | 11600 Bedford Rd Ne, Cumberland, MD 21502-6805 | 2007-02-27 |
| 1346394616 | Jennifer Souther Md Inc | Family Medicine | 30 Martin St, Unit 30a, Cumberland, RI 02864-5321 | 2007-01-23 |
| 1619072626 | David Bryce Brown | Family Medicine | 1758 Anderson Hwy, Central Southside Professionals LLC, Cumberland, VA 23040-2524 | 2006-09-14 |
| 1518074889 | Owen Regan | Family Medicine | 12502 Willowbrook Rd Ste 550, Cumberland, MD 21502-6594 | 2006-08-24 |
| 1184635880 | James R Moen | Family Medicine | 1068 National Highway Rear, Cumberland, MD 21502-7501 | 2006-08-10 |
| 1790707867 | David E Vickery | Family Medicine | 12130 E Washington St, Suite A, Cumberland, IN 46229-2955 | 2006-07-24 |
| 1124046032 | Community Hospitals of Indiana Inc | Family Medicine | 11890 E Welland St, Cumberland, IN 46229-2964 | 2006-07-18 |
| 1386607851 | Terry E Williams LLC | Family Medicine | 500 Memorial Avenue, Suite 301, Cumberland, MD 21502 | 2006-04-07 |
| Find all providers in CUMBERLAND | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
Please comment or provide details below to improve the information on DR. MICHELE KENNEDY.
| 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.