K L Kennedy LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

RN122326 Issued in AZ

Legal business name

K L KENNEDY LLC

Practice address

5090 N Corte de Catalonia
Tucson, AZ 85718-6078

Phone

(520) 232-1019

Fax

(520) 299-1680

NPI assigned

Dec 13, 2012

Organization subpart

No

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

Authorized official

Name

Karen L Kennedy-Evans, FNP

Title

President

Phone

(520) 232-1019

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1467798702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5090 N CORTE DE CATALONIA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186078",
            "telephone_number": "520-232-1019",
            "fax_number": "520-299-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5090 N CORTE DE CATALONIA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186078",
            "telephone_number": "520-232-1019",
            "fax_number": "520-299-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K L KENNEDY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "KENNEDY-EVANS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-232-1019",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "AZ",
            "license": "RN122326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James W. Justice, M.D.
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• Dipak Babu K C, MD
• K-Compassion LLC
• K.D. Keel PLLC
• Keith Ross Kaback, MD
• Caroline M. Kacer, DMD
• Kurtis Andrew Kacer, D.M.D., M.S.

• General Practice Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.