KENNEDY ORTHOPEDIC SERVICES, INC.


Address: 1819 E Yale Dr, Tempe, AZ 85283-2249
Phone: 6023200335

KENNEDY ORTHOPEDIC SERVICES, INC. (NPI# 1841561859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841561859
Entity Type Organization
Organization Name KENNEDY ORTHOPEDIC SERVICES, INC.
Practice Address 1819 E Yale Dr
Tempe
AZ 85283-2249
Practice Telephone 6023200335
Practice Fax Number 4802488993
Mailing Telephone 6023200335
Mailing Fax Number 4802488993
Enumeration Date 2012-01-23
Last Update Date 2012-06-28
Authorized Official Name MR. RYAN DAVID KENNEDY (PRESIDENT)
Authorized Official Telephone 6023200335
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
2765 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1819 E YALE DR
City TEMPE
State AZ
Zip Code 85283-2249

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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1710940192 Lanny L Oden Physician Assistant 1186 E Redfield Rd, Tempe, AZ 85283-5732 2006-04-07
1700888716 Physician Assistant Services Physician Assistant 7804 S Jentilly Ln, Tempe, AZ 85284-1562 2005-08-10
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1538410071 Mara Danielle Immediato Physician Assistant 1255 W Rio Salado Pkwy Ste 107, Tempe, AZ 85281-2892 2012-09-24
1316182926 Jennifer Johnstad LLC Physician Assistant 2421 E Southern Ave, Suite 1, Tempe, AZ 85282-7612 2008-12-10
1346383387 Arizona Surgeon Assistance Physician Assistant 2000 E Southern Ave, #105, Tempe, AZ 85282-7510 2007-02-15

Providers in the same taxonomy and state

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1053898833 Sportsmedicine Outreach Specialist Physician Assistant 13247 N 80th Pl, Scottsdale, AZ 85260-4903 2018-07-24
1912496712 Hw Surgical Assist, Pllc Physician Assistant 4057 E Laurel Ave, Gilbert, AZ 85234 2018-05-07
1366955155 Jennifer R Osborne Physician Assistant 100 S Eastern Dawn Ave, Tucson, AZ 85748-1708 2017-11-15
1669985198 Jacki Nichols Physician Assistant 5055 N Rock Canyon Rd, Tucson, AZ 85750-6003 2017-11-06
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Competitor

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City TEMPE
Zip Code 85283

Improve Information

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Dataset Information

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.

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