Karen E Kennedy MD PA

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

ME75325 Issued in FL

Legal business name

KAREN E KENNEDY MD PA

Practice address

1118 Gulf Breeze Pkwy
Ste. 201
Gulf Breeze, FL 32561-7800

Phone

(850) 916-7766

Fax

(850) 916-5144

NPI assigned

Jun 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Karen E Kennedy, M.D.

Title

President

Phone

(850) 916-7766

Specialties & licenses 1

Addresses

Other identifiers 9

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1033145560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 GULF BREEZE PKWY",
            "address_2": "STE. 201",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617800",
            "telephone_number": "850-916-7766",
            "fax_number": "850-916-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 GULF BREEZE PKWY",
            "address_2": "STE. 201",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617800",
            "telephone_number": "850-916-7766",
            "fax_number": "850-916-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN E KENNEDY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-916-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME75325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CLIA",
            "identifier": "10D0270871",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261713700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GP#",
            "identifier": "DG1413",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0701115",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS ALABAMA",
            "identifier": "59041231KEN",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS FLORIDA",
            "identifier": "58754",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP EFF 10-2-06",
            "identifier": "AD696",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7856118",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "21149353644",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph D Howard (Howard Clinic)
• Josh Hackel MD PA
• Jordan Jud, DPT, PT, ATC, LAT
• Sarah Newman Kalb, AP,LAC, MAOM
• Karen Cann (Integrative Chiropractic & Physical Therapy Solutions, LLC)
• Karlee Clark LLC
• Thomas Michael Kasabian
• Julie Condon Kellen, PT
• Karen E Kennedy, M.D.
• Brooke Ann Kessinger, FNP-C

• Gynecology Physician in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.