Individual
DAVID KENNEDY
Active
Individual
DAVID KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,MS,CCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2251
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000Q0406
MEDICAID GROUP #
NM
01
—
1245380039
BERNALILLO FACILITY NPI
NM
05
—
13201271
—
NM
01
—
1356491146
BELEN FACILITY NPI
NM
01
—
1386651412
LOS LUNAS FACILITY NPI
NM
01
—
2251
NM STATE LICENSE
NM
01
—
P00167482
RAILROAD MEDICARE
NM
Enumeration date
07/26/2006
Last updated
04/19/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up