KENDRICK KENNEDY (NPI# 1942771969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942771969 |
| Entity Type | Individual |
| Full Name | KENDRICK KENNEDY |
| Practice Address |
12742 E Caley Ave Centennial CO 80111-6480 |
| Mailing Address |
1030 S Yampa St Aurora CO 80017-3389 |
| Practice Telephone | 7203341877 |
| Mailing Telephone | 7203341877 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0021927 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184120941 | Kendrick Kennedy | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2018-04-02 |
| Street Address |
12742 E CALEY AVE |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80111-6480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637552 | Aaron Joseph Rushing | Anesthesiologist Assistant | Us Anesthesia Partners of Colorado, Inc, 8000 E. Maplewood Ave., Suite 200, Greenwood Village, CO 80111 | 2020-04-06 |
| 1003381252 | Bing Xu | Non-emergency Medical Transport (VAN) | 9000 E Caley Way, Greenwood Village, CO 80111 | 2018-10-03 |
| 1669963146 | Deborah G. Aragon | Physician Assistant | 6229 S. Iola Wy, Englewood, CO 80111 | 2018-05-21 |
| 1902343718 | Jennifer Bielefeld | Registered Nurse | 6162 South Willow Dr., Suite 100, Greenwood Village, CO 80111 | 2017-01-31 |
| 1225589807 | Osama M Kassab | Chiropractor | 5690 Dtc Blvd Ste 140e, Greenwood Village, CO 80111 | 2016-10-19 |
| 1891242400 | Samantha Fiegel | Counselor | 6021 S Syracuse Way Ste 216, Greenwood Village, CO 80111 | 2016-09-01 |
| 1831644368 | Melissa Fischer Alconcel | Dentist | 8940 E. Crescent Parkway, Suite 370, Greenwood Village, CO 80111 | 2016-08-25 |
| 1245680263 | Carron Maclean | Counselor | 5310 Dtc Pkwy Ste A, Greenwood Village, CO 80111 | 2016-06-21 |
| 1326493792 | Insight Psychotherapy LLC | Counselor | 7350 E Progress Place, Suite 100, Greenwood Village, CO 80111 | 2016-05-04 |
| 1457705410 | Amy Flora | Occupational Therapist | 5750 Dtc Pkwy #170, Greenwood Village, CO 80111 | 2016-04-15 |
| Find all providers in zip 80111 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303531 | Maddison Rainah White | Massage Therapist | 3566 E Fair Pl, Centennial, CO 80121-3025 | 2020-10-15 |
| 1306463005 | Jessica K Bayes | Massage Therapist | 7200 E Dry Creek Rd Ste D205, Centennial, CO 80112-2566 | 2020-06-29 |
| 1174161830 | Michael Hackenburg | Massage Therapist | 6743 S High St, Centennial, CO 80122-1331 | 2019-12-12 |
| 1659896595 | William Sean O'malley | Massage Therapist | 7200 E Dry Creek Rd Ste C103, Centennial, CO 80112-2562 | 2017-08-11 |
| 1770007593 | Anne Denton | Massage Therapist | 8770 E Arapahoe Rd Ste 239, Centennial, CO 80112-1422 | 2017-08-02 |
| 1194247353 | Cathrine Mannina | Massage Therapist | 7700 E Arapahoe Rd Ste 250, Centennial, CO 80112-6108 | 2017-07-10 |
| 1750819405 | Theresa Dempsey Chandler | Massage Therapist | 7200 E Dry Creek Rd Ste C104, Centennial, CO 80112-2562 | 2017-05-25 |
| 1376093542 | Stacy Hoffman-farmer | Massage Therapist | 5742 S Netherland St, Centennial, CO 80015-3344 | 2016-10-11 |
| 1306291992 | Valerie Jean Courisky | Massage Therapist | 6460 S Albion Way, Centennial, CO 80121-3239 | 2016-05-02 |
| 1043665672 | Jenny Nickerson | Massage Therapist | 6970 S Holly Cir Ste 104, Centennial, CO 80112-1066 | 2016-05-02 |
| Find all providers in CENTENNIAL | ||||
| City | CENTENNIAL |
| Zip Code | 80111 |
Please comment or provide details below to improve the information on KENDRICK 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.