MR. KEVIN P KENNEDY (NPI# 1922268788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922268788 |
| Entity Type | Individual |
| Full Name | MR. KEVIN P KENNEDY |
| Other Name | KEVIN KENNEDY |
| Credential | C.P. |
| Practice Address |
1100 Garden Hwy. Ste. 900 Yuba City CA 95991-7598 |
| Mailing Address |
551 S Bolling Rd Pahrump NV 89048-4642 |
| Practice Telephone | 5306736913 |
| Practice Fax Number | 5306716915 |
| Mailing Telephone | 7024682376 |
| Mailing Fax Number | 7028231336 |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2013-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
ABCCP003164BOCC1 | AK | Other Service Providers |
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629399647 | Kevin Chambliss Kennedy Jr. | Dentist | 590 Fire Station Rd Ste C, Clarksville, TN 37043-4016 | 2010-06-14 |
| 1730201310 | Kevin Michael Kennedy | Dentist | 3193 Main St, Bridgeport, CT 06606-4225 | 2007-04-04 |
| 1538245303 | Kevin Mark Kennedy | Dentist | 223 Wisconsin Ave, Waukesha, WI 53186-4926 | 2006-10-27 |
| 1679102263 | Kevin Christopher Kennedy | Student in an Organized Health Care Education/Training Program | 725 North St, Pittsfield, MA 01201-4109 | 2020-04-06 |
| 1548896400 | Kevin Patrick Kennedy | Student in an Organized Health Care Education/Training Program | 757 Westwood Plz, Psychiatry, Los Angeles, CA 90095-7419 | 2020-03-22 |
| 1215322342 | Kevin David Kennedy | Family Medicine | 201 16th Ave E, Seattle, WA 98112-5226 | 2015-04-06 |
| 1851569081 | Kevin Thomas Kennedy | Physician Assistant | 15 Abbey Creek Ct, Care of Usa Medical Services, P.C., East Islip, NY 11730-2223 | 2008-02-11 |
| 1841492568 | Kevin D Kennedy | Physical Therapist | 1200 N State St, Suite 500, Jackson, MS 39202-2000 | 2007-06-04 |
| 1831225838 | Kevin Meers Kennedy | Anesthesiology | 1515 6th Ave S, Cooper Green Hospital, Birmingham, AL 35233-1601 | 2007-02-26 |
| 1649298134 | Kevin S Kennedy | Otolaryngology | 1818 So Union Ave, #2-c, Tacoma, WA 98405-1953 | 2006-07-17 |
| Street Address |
1100 GARDEN HWY. STE. 900 |
| City | YUBA CITY |
| State | CA |
| Zip Code | 95991-7598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326670290 | Dr. Page Hudson Dental Corporation | Dentist | 871 Gray Avenue, Suite B, Yuba City, CA 95991 | 2020-02-10 |
| 1457990756 | Amar Sohail, Dds, Inc | Dentist | 718 W. Onstott Frontage Road, Yuba City, CA 95991 | 2020-01-03 |
| 1295370203 | An M Vo | Physical Therapist | 825 Jones Road, Yuba City, CA 95991 | 2019-11-13 |
| 1720551021 | Brittany L Adams | Behavior Technician | 471 Century Dr., Ste.b, Yuba City, CA 95991 | 2019-01-09 |
| 1124538681 | Youth for Change | Clinic/Center | 1525 Plumas Court, Suites C & D, Yuba City, CA 95991 | 2017-10-10 |
| 1760902076 | Licia Dering | Behavior Technician | 1425 Tradewind Drive, Yuba City, CA 95991 | 2017-06-27 |
| 1306371059 | Hafiz Feezer Kassam | Orthopaedic Surgery | 470 Plumas Blvd Ste 201, Yuba City, CA 95991 | 2017-05-01 |
| 1912444357 | Daniel & Max, LLC | Optometrist | 444 Colusa Ave., Suite A, Yuba City, CA 95991 | 2017-01-24 |
| 1790041556 | Deanna Marie Pollock | Anesthesiology | 460 Plumas Blvd Ste 202, Yuba City, CA 95991 | 2012-04-05 |
| 1053689406 | Michael Tzung-hsun Yang | Pharmacist | 2555 Aurora Drive, Yuba City, CA 95991 | 2011-12-13 |
| Find all providers in zip 95991 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942445259 | Mike Passaro | Prosthetist | 1134 Plumas St, Yuba City, CA 95991-3409 | 2008-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752942 | Elizabeth Olajide | Prosthetist | 43536 Gadsden Ave Apt 324, Lancaster, CA 93534-6036 | 2020-02-20 |
| 1831733948 | Shayla R Williams | Prosthetist | 11050 Strathmore Dr Apt 422, Los Angeles, CA 90024-2319 | 2019-10-31 |
| 1578111290 | Charmie Johnson | Prosthetist | 7309 University Ave Ste B, La Mesa, CA 91942-0525 | 2019-08-27 |
| 1790341915 | Gloria Tatiana Dixon | Prosthetist | 32366 Evening Primrose Trl, Campo, CA 91906-3162 | 2019-05-13 |
| 1629633219 | Duana Robinson | Prosthetist | 1430 Brandon Dewey Ln, Tracy, CA 95304-5981 | 2019-05-08 |
| 1366908741 | Alicia Lander | Prosthetist | 5252 Foothill Blvd, Oakland, CA 94601-5438 | 2019-02-11 |
| 1154895944 | Keyonia K Paramore | Prosthetist | 735 W Pacific Coast Hwy, Long Beach, CA 90806-5240 | 2019-01-15 |
| 1629544499 | Alexander Hetherington | Prosthetist | 1500 Owens St Ste 115, San Francisco, CA 94158-2338 | 2018-10-19 |
| 1255815155 | Mary Alice Swiney | Prosthetist | 3437 Stocker St Apt 4, Los Angeles, CA 90008-3730 | 2018-09-18 |
| 1285113951 | Janet Miller | Prosthetist | 6662 Charlene Ave, San Diego, CA 92114 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
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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.