DR. CANDICE L KENNEDY (NPI# 1932539376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932539376 |
| Entity Type | Individual |
| Full Name | DR. CANDICE L KENNEDY |
| Credential | MS, DPM |
| Practice Address |
8613 Old Kings Rd S Ste 301 Jacksonville FL 32217 |
| Mailing Address |
8613 Old Kings Rd S Ste 301 Jacksonville FL 32217-4845 |
| Practice Telephone | 9043230954 |
| Practice Fax Number | 9046602125 |
| Mailing Telephone | 9043230954 |
| Mailing Fax Number | 9042120455 |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2018-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO3717 | FL | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851742886 | Candice Hoke Kennedy | Counselor | 222 Se 8th Ave, Ste 212, Hillsboro, OR 97123-4218 | 2016-06-30 |
| 1881052108 | Candice Kennedy | Counselor | 106 Springview Ln, Summerville, SC 29485-8108 | 2016-02-01 |
| Street Address |
8613 OLD KINGS RD S STE 301 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952548422 | Jorge Adalberto Chamorro | Dentist | 8613 Old Kings Rd S Ste 301, Jacksonville, FL 32217-4845 | 2009-01-20 |
| 1578938684 | Total Foot Care and Wellness Clinic, LLC | Podiatrist | 8613 Old Kings Rd S Ste 301, Jacksonville, FL 32217 | 2015-12-01 |
| 1801278171 | Duc Nguyen | Podiatrist | 8613 Old Kings Rd S Ste 301, Jacksonville, FL 32217-4845 | 2015-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336605005 | Mary Ellen Mccullough-list | Behavior Technician | 3437 Miruelo Circle North, Jacksonville, FL 32217 | 2019-02-18 |
| 1285131656 | Priority One Home Care LLC | In Home Supportive Care | 7500 Powers Ave Apt 198, Jacksonville, FL 32217 | 2018-04-11 |
| 1407361272 | Sharon Williams | Home Health | 8300 Plaza Gate Lane #1152, Jacksonville, FL 32217 | 2017-12-02 |
| 1548779929 | Acumed Medical Ltd. | Durable Medical Equipment & Medical Supplies | 6653 Powers Avenue, Suite 134, Jacksonville, FL 32217 | 2017-09-28 |
| 1437685526 | Ward Zeigler | Behavior Technician | 3437 Miruelo Cr. N., Jacksonville, FL 32217 | 2017-05-10 |
| 1538695754 | Shilonda Peterson-jackson | Technician, Other | 3437 Miruelo Cr N, Jacksonville, FL 32217 | 2017-05-08 |
| 1114467834 | Louis R. Lothman | Counselor | 3734 San Viscaya Dr., Jacksonville, FL 32217 | 2017-02-28 |
| 1023490141 | A Gentle Touch Home Health Care LLC. | Home Health | 5991 Chester Avenue, Jacksonville, FL 32217 | 2015-06-25 |
| 1912320334 | Christopher Marshall Fuller | Developmental Therapist | 5132 Edgeware Ct., Jacksonville, FL 32217 | 2014-01-22 |
| 1790040020 | Maria R. Tapia | Psychologist | 7680 Smullian Trail West, Jacksonville, FL 32217 | 2012-07-12 |
| Find all providers in zip 32217 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487146890 | First Coast Medical Network LLC | Podiatrist | 2645 Cody Dr, Jacksonville, FL 32223-5585 | 2018-05-31 |
| 1023461480 | Cynthia Correa-cedeno | Podiatrist | 14011 Beach Blvd Ste 220, Jacksonville, FL 32250-1695 | 2016-07-20 |
| 1083029698 | Norshae Robinson | Podiatrist | Total Foot Care and Wellness Clinic, 8613 Old Kings Rd South, Suite 301, Jacksonville, FL 32217-4845 | 2014-06-23 |
| 1457529976 | Earl Horowitz Dpm Pa | Podiatrist | 2236 Park St, Jacksonville, FL 32204-4316 | 2008-02-19 |
| 1992838296 | Howard G Groshell Jr. | Podiatrist | 2236 Park Street, Jacksonville, FL 32204-4316 | 2007-03-14 |
| 1356400642 | Smita Malhotra Dpm Pa | Podiatrist | 4213 Metron Dr, Jacksonville, FL 32216-1012 | 2006-12-06 |
| 1457432387 | Podiatry Associates of Florida Inc | Podiatrist | 5911 Timuquana Rd Unit 300, Jacksonville, FL 32210 | 2006-10-18 |
| 1154432219 | Earl R Horowitz D P M Pa | Podiatrist | 2550 Park St, Jacksonville, FL 32204-4518 | 2006-08-31 |
| 1942319645 | Jeffrey L Burmeister | Podiatrist | 2762 Dunn Ave, Jacksonville, FL 32218-4659 | 2006-08-29 |
| 1306871827 | Theodore Joseph Piano | Podiatrist | 4142 Hanging Moss Ct, Jacksonville, FL 32257-7658 | 2006-07-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32217 |
Please comment or provide details below to improve the information on DR. CANDICE L 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.