Active NPI
K L Kennedy LLC
- General Practice Physician
- Tucson, AZ
National Provider Identifier
1467798702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- RN122326
- 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
- Last updated
- Dec 13, 2012
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | RN122326 | AZ | Primary |
Addresses
Primary practice location
5090 N Corte de Catalonia
Tucson, AZ 85718-6078
Mailing address
5090 N Corte de Catalonia
Tucson, AZ 85718-6078
Phone (520) 232-1019
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Tucson, AZ
- NPI 1245583368
NPI Registry JSON
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": []
}
Other providers in Tucson, AZ
Sources for this page
- 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.