Kathryn Kennedy, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

7487 Issued in KY

Practice address

100 Robinbrooke Blvd
Elizabethtown, KY 42701-5972

Phone

(270) 735-1441

NPI assigned

May 10, 2022

Last updated

May 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elizabethtown Family Dentistry

  • Dental Clinic/Center
  • Elizabethtown, KY
  • NPI 1730966300
  NPD

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1063158327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 ASHWOOD AVE",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427014908",
            "telephone_number": "217-260-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROBINBROOKE BLVD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015972",
            "telephone_number": "270-735-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KATHRYN",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": "7487",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "KY",
            "license": "7487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Elizabehttown",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Robinbrooke Blvd",
            "city": "Elizabethtown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427015972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leanna Kelty
• Stephanie Rae Kelty, APRN
• Nicholas Kemble
• Elizabeth Kennedy, CSW, MSSW
• Jessica Renee Kennedy, BS OF ED, IECE
• Linda Kennedy, LPCC
• Kensington Health Center LLC (Kensington Center)
• Kentuckiana Foot & Ankle, PLLC
• Kentucky CVS Pharmacy LLC (CVS Pharmacy # 10048)
• Kentucky Heart and Vascular Specialists, PSC

• Dental Hygienist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Dental Hygienist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.