MS. KELLY LEIGH KENNEDY (NPI# 1376973198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376973198 |
| Entity Type | Individual |
| Full Name | MS. KELLY LEIGH KENNEDY |
| Credential | ACNP-C, RN |
| Practice Address |
5600 Brainerd Road Suite B14 Chattanooga TN 37411 |
| Practice Telephone | 4238254800 |
| Mailing Telephone | 4238254800 |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
12659 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841818051 | Kelly Renee Kennedy | Specialist/Technologist | 720 N Noyes Blvd, Saint Joseph, MO 64506-2813 | 2020-07-14 |
| 1003474784 | Kelly Kennedy | Counselor | 236 Moultrie Pl, Santa Paula, CA 93060-3241 | 2019-05-29 |
| 1093967903 | Kelly Jean Kennedy | Physical Therapy Assistant | 1221 Corey Dr, Whitehouse, TX 75791-3731 | 2008-10-22 |
| 1174647689 | Kelly Kennedy | Occupational Therapist | N4901 Dam Rd, Delavan, WI 53115-2927 | 2007-03-19 |
| 1578572269 | Kelly David Kennedy | Chiropractor | 6 East First Avenue, Runnemede, NJ 08078-1101 | 2006-08-05 |
| 1942801956 | Kelly Kennedy | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2020-11-05 |
| 1689280406 | Kelly Marie Kennedy | Pharmacist | 500 W Grant St, Lake City, MN 55041-1143 | 2020-09-17 |
| 1427500701 | Kelly Kennedy | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2016-11-02 |
| 1841654399 | Kelly Kennedy | Dietitian, Registered | 777 North St, Pittsfield, MA 01201-4147 | 2016-04-11 |
| 1063880136 | Kelly Kennedy | Occupational Therapy Assistant | 118 Medical Dr, Carmel, IN 46032-2923 | 2015-09-08 |
| Street Address |
5600 BRAINERD ROAD SUITE B14 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811520620 | Winzetta Jenkins | Social Worker | 5705 Uptain Rd., Chattanooga, TN 37411 | 2020-02-20 |
| 1881156651 | Valerie L Radu | Social Worker | 5800 Uptain Road, Suite 1200, Chattanooga, TN 37411 | 2019-04-02 |
| 1568986693 | Solution Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 4707 North Terrace, Chattanooga, TN 37411 | 2017-07-31 |
| 1689060733 | Nirlepkumar Patel | Pharmacist | 3602 Brainerd Road, Chattanooga, TN 37411 | 2015-04-15 |
| 1669896254 | Audra Valentaviciene | Nurse Practitioner | 5618 Brainerd Road, Chattanooga, TN 37411 | 2014-02-18 |
| 1417210071 | Jason Owen Blair | Physical Therapy Assistant | 5779 Brainard Rd, Chattanooga, TN 37411 | 2012-06-19 |
| 1447532270 | Masons and Daughter LLC | Non-emergency Medical Transport (VAN) | 7 North Tuxedo Ave, Chattanooga, TN 37411 | 2011-09-19 |
| 1841500386 | Pamela Denise Stultz | Physical Therapy Assistant | 3207 Rosemont Drive, Chattanooga, TN 37411 | 2010-10-18 |
| 1689803843 | Pauline Evans | Occupational Therapy Assistant | 1557 Pin Oak Dr, Chattanooga, TN 37411 | 2009-07-09 |
| 1376787788 | Tiundra Leshaun Love | Internal Medicine | 6098 Debra Road, Bldg 6200 Suite 5200, Vha, Chattanooga, TN 37411 | 2009-04-29 |
| Find all providers in zip 37411 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1114235231 | Jammie Amanda Dill | Nurse Practitioner | 975 E 3rd St # 247, Trauma Services Department, Chattanooga, TN 37403-2147 | 2010-09-23 |
| 1689204968 | Kristen Lamm Smith | Nurse Practitioner | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2020-01-25 |
| 1215575113 | Abigail N Burroughs | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2019-12-11 |
| 1780229229 | Dudley W Pate | Nurse Practitioner | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2019-11-07 |
| 1730721465 | Cathy C Patty | Nurse Practitioner | 2501 Citico Ave, Chattanooga, TN 37404-1127 | 2019-10-15 |
| 1588206155 | Lauren Elizabeth Shockley | Nurse Practitioner | 2525 Desales Ave, Chattanooga, TN 37404-1161 | 2019-10-15 |
| 1225698061 | Jared Daniel Coston | Nurse Practitioner | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2019-06-14 |
| 1346803756 | Kelsey C Rudd | Nurse Practitioner | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2019-04-22 |
| 1801355466 | Nickie Ann Rosario | Nurse Practitioner | 975 E 3rd St, Chattanooga, TN 37403-2147 | 2019-03-13 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37411 |
Please comment or provide details below to improve the information on MS. KELLY LEIGH 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.