Richard Ellis Kennedy, MD

Primary specialty

Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X

License

24008 Issued in AL

Practice address

1665 University Blvd
Ryals Public Health Building Room 327K
Birmingham, AL 35233-1722

Phone

(205) 975-9148

Fax

(205) 975-2540

NPI assigned

Aug 15, 2011

Last updated

Aug 15, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1174802656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 UNIVERSITY BLVD",
            "address_2": "RYALS PUBLIC HEALTH BUILDING ROOM 327K",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331722",
            "telephone_number": "205-975-9148",
            "fax_number": "205-975-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 UNIVERSITY BLVD",
            "address_2": "RYALS PUBLIC HEALTH BUILDING ROOM 327K",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331722",
            "telephone_number": "205-975-9148",
            "fax_number": "205-975-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "RICHARD",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "AL",
            "license": "24008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Meers Kennedy, MD
• Kierstin Kennedy
• Lisa A Kennedy, O.D.
• Mallory Kennedy
• Melanie J. Kennedy, LPC
• Salee Elizabeth Kennedy, RN
• Timothy Irving Kennell Jr., MD
• Kenneth Mark Middlebrooks MD PC
• Kenneth R. Smith, P.C. (Ophthalmology Associates)
• Kenneth Obiefuna Kenneth-Nwosa, MD

• Psychosomatic Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Psychosomatic Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.