Kimberly Elaine Kennedy, BSN, RN
Individual provider Active NPI Addiction (Substance Use Disorder) Registered Nurse · Connell, WA
NPI 1487526554 · NPPES record last updated Sep 19, 2025
Key facts
- NPI
- 1487526554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse 163WA0400X
- License
- RN00145824 (WA)
- Practice address
- 1300 W Ephrata
Connell, WA 99326 - Phone
- (509) 544-3516
- NPI assigned
- Sep 19, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00145824 | WA | MD | Addiction (Substance Use Disorder) Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prison Health Clinic/Center | 261QP2400X | RN00145824 | WA | |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | RN00145824 | WA | Yes |
Addresses
Primary practice location
1300 W Ephrata
Connell, WA 99326
Mailing address
4407 W Metaline Ave
Kennewick, WA 99336-2343
Phone (509) 544-3516
Other providers in Connell, WA
- Tony A Harrington
- Chelsie Anne Henden
- Helen Elizabeth Jack
- Jaeniffer Ang Kaiser
- Shelbie Louise Karl
- Marika, Inc Dba the Connell Pharmacy
- Kristi McCall
- Wendy M. J. Minor
- Joel R Mundall
- Jon Marcus Raymond Mundall
All providers in Connell, WA · Addiction (Substance Use Disorder) Registered Nurse in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.