ANDREW DAVID KENNEDY (NPI# 1366534125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366534125 |
| Entity Type | Individual |
| Full Name | ANDREW DAVID KENNEDY |
| Credential | PAC |
| Practice Address |
620 Howard Ave Altoona PA 16601-4804 |
| Mailing Address |
114 25th Ave Altoona PA 16601-3920 |
| Practice Telephone | 8148896157 |
| Mailing Telephone | 8149422592 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
OA002652-L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA002652-L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256491 | Andrew Kennedy | Behavior Technician | 148 W Sampson St, Imperial, CA 92251-8828 | 2019-07-15 |
| 1871730077 | Andrew James Kennedy IIi | Pharmacist | 82 Liborio Ln, Smyrna, DE 19977-7711 | 2009-01-10 |
| 1306907118 | Andrew A Kennedy | Physical Therapist | 530 N Hough St Ste 130, Barrington, IL 60010 | 2006-12-13 |
| 1649748161 | Andrew Ryan Kennedy | Pharmacist | 1910 Santa Fe Dr, Pueblo, CO 81006-1452 | 2018-11-02 |
| 1699228692 | Andrew Dale Kennedy | Dentist | 128 South 300 West, Bicknell, UT 84715 | 2016-07-27 |
| 1538542519 | Andrew C Kennedy | Physician Assistant | 721 American Ave, Suite 510, Waukesha, WI 53188-5071 | 2015-07-08 |
| 1801236070 | Andrew Ricard Kennedy | Physician Assistant | 600 Caisson Hill Rd, Fort Riley, KS 66442-7037 | 2013-07-02 |
| 1467472167 | Andrew K Kennedy | Anesthesiology | 1701 Senate Blvd, Indianapolis, IN 46202-1239 | 2006-07-19 |
| 1467491019 | Andrew Scott Kennedy | Radiology | 2410 Patterson St, Basement Level, Nashville, TN 37203-1551 | 2006-06-06 |
| Street Address |
620 HOWARD AVE |
| City | ALTOONA |
| State | PA |
| Zip Code | 16601-4804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174521124 | Altoona Regional Health System | Rehabilitation Hospital | 620 Howard Ave, Altoona, PA 16601-4804 | 2005-07-13 |
| 1700484946 | Keri Rose Fulton | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-10-10 |
| 1295332609 | Abigail Printz | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-10-08 |
| 1194335091 | Ashley Shaheen | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-08-05 |
| 1316555899 | Nicole Allen | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-07-21 |
| 1053939900 | Elizabeth Lantznester | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-07-08 |
| 1841817616 | Taylor Nicole Young | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-06-28 |
| 1891310447 | Nicole Elizabeth Taylor | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-06-10 |
| 1184256919 | Alyson Strapple | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-02-10 |
| 1679113567 | Matthew Bogdanski | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205456498 | Divya Venkata Tumuluru | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue-suite F2 Altoona Family Physicians, Altoona, PA 16601 | 2020-04-17 |
| 1114574787 | Neil Pietrolungo | Counselor | 1216 11th Avenue, St. 215, Altoona, PA 16601 | 2019-08-19 |
| 1326509621 | Lucas L Warton | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians, 501 Howard Ave, Ste F2, Altoona, PA 16601 | 2019-03-28 |
| 1669932141 | Edmiston Physical Therapy Co | Physical Therapist | 2927 Beale Ave. Suite E101, Altoona, PA 16601 | 2019-03-21 |
| 1871052407 | Ji Won Lee | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2019-03-13 |
| 1982199774 | Shikha Salhotra | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Altoona Family Physicians, Suite F2, Altoona, PA 16601 | 2018-06-25 |
| 1679063655 | Sarah Ann Bier | Registered Nurse | 2900 Plank Rd, Altoona, PA 16601 | 2018-05-15 |
| 1306334073 | Mohammad Omar Bukhari | Student in an Organized Health Care Education/Training Program | Altoona Family Physicians 501 Howard Avenue, Suite F2, Altoona, PA 16601 | 2018-04-27 |
| 1730676164 | Kathleen Elizabeth Woods | Student in an Organized Health Care Education/Training Program | 501 Howard Avenue Suite F2, Altoona Family Physicians, Altoona, PA 16601 | 2018-04-20 |
| 1386082485 | Zachary Charles Haulman | Physical Medicine & Rehabilitation | 2900 Beale Ave Ste 110, Altoona, PA 16601 | 2013-06-11 |
| Find all providers in zip 16601 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295182491 | Emily Tercek | Physician Assistant | 620 Howard Ave Fl 7, Altoona, PA 16601-4804 | 2016-05-17 |
| 1356303358 | Gilbert H Johnson | Physician Assistant | 1304 Lake Rd, Altoona, WI 54720-1849 | 2006-04-05 |
| 1346200995 | Stephen F Pyo | Physician Assistant | 1505 9th Ave, Altoona, PA 16602-2416 | 2006-03-27 |
| 1841801651 | Kristin Mathiowetz | Physician Assistant | 3119 Woodman Dr, Altoona, WI 54720-2668 | 2020-08-14 |
| 1700432358 | Rebecca Gorba | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2019-08-09 |
| 1003474198 | Sean Allen Yeckley | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2019-06-03 |
| 1669986246 | Kaylee Kowalczyk | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2017-11-19 |
| 1528300241 | Vanessa R Colquhoun | Physician Assistant | 3000 Fairway Dr, Altoona, PA 16602-4472 | 2013-03-20 |
| 1700140753 | David S Claar | Physician Assistant | 3000 Fairway Dr, Altoona, PA 16602-4472 | 2012-06-25 |
| 1942598842 | Anthony C Damin | Physician Assistant | 3000 Fairway Dr, Altoona, PA 16602-4472 | 2011-07-13 |
| Find all providers in ALTOONA | ||||
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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.