Michele Kennedy, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H0065454 Issued in MD

Practice address

621 Kelly Rd
Cumberland, MD 21502-2878

Phone

(301) 722-3270

NPI assigned

Nov 30, 2006

Sex

Female

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)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275600504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14312 OLD LAKE DR SW",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215025877",
            "telephone_number": "301-697-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 KELLY RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022878",
            "telephone_number": "301-722-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0065454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Lynn Keller, CRNP
• John Keller, CPRS-II
• William Frederick Kellermeyer Jr., MD
• Barbara Ann Kennedy, M. ED.
• Jennifer Kennedy, CRNA
• Katelyn Kennell-Gaither, LMSW
• Kennth J Pompilio MD PA
• Kensington Algonquin, LLC.
• Melody Marie Kentrus, DPT
• Kristen Renee Kessel, CRNP

• Family Medicine Physician in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.