Victoria Ann Kennedy, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9102241 Issued in FL

Practice address

1345 W Bay Dr
Suite 301
Largo, FL 33770-2282

Phone

(727) 581-6984

Fax

(727) 584-7648

NPI assigned

Mar 26, 2007

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

Physician Assistant

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.

• Stanley S Moles & Associates MD'S PA

  • Nuclear Radiology Physician
  • Largo, FL
  • NPI 1285616227
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1467579078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 W BAY DR",
            "address_2": "SUITE 301",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702282",
            "telephone_number": "727-581-6984",
            "fax_number": "727-584-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 W BAY DR",
            "address_2": "SUITE 301",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702282",
            "telephone_number": "727-581-6984",
            "fax_number": "727-584-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall Keltner, M.D.
• William Fitzgerald Kendall Jr., M.D.
• Elizabeth Corrine Kendrick, ARNP
• Tammy Kennedy Rice
• Jaleessa Kennedy, LMHC
• Kenneth Grundset PA
• Jessica Keshishian, MD
• William Thomas Keweshan, DO
• Keys2Health LLC
• Sandra Ariel Khabner, DMD

• Medical Physician Assistant in Largo, FL
• Providers in Largo, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.