Kennedy S Frasier

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

3884 Dripping Springs Rd
Glasgow, KY 42141-9715

Phone

(270) 590-5254

NPI assigned

Mar 13, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1063113447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3884 DRIPPING SPRINGS RD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421419715",
            "telephone_number": "270-590-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3884 DRIPPING SPRINGS RD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421419715",
            "telephone_number": "270-590-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASIER",
        "first_name": "KENNEDY",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnie Lane Ford
• Karin J Foster, OTR
• William Foster, OTR/L
• Tyrone Franklin Jr
• Vivian Rachel Franklin, APRN, CWOCN, CFCN
• Stephanie Anne Freeman, MD
• Jenniffer Annette Fudge
• Kayla Fulton
• G. Philip Whiteside DMD, PSC
• Wendy Gaffin

• Developmental Therapist in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Developmental Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.