Kyle W. Kennedy, DO, Facoep

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2004009698 Issued in MO

Legal business name

KYLE W. KENNEDY, DO, FACOEP

Practice address

1102 W 32ND St
Joplin, MO 64804-3503

Phone

(417) 347-6670

NPI assigned

Oct 17, 2013

Last updated

Oct 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Kennedy

Title

Physician

Phone

(417) 499-2692

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1407284094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 N LIBERTY ST",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "648701135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043503",
            "telephone_number": "417-347-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE W. KENNEDY, DO, FACOEP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "417-499-2692",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2004009698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.