Kathleen M. Kennedy, M.D., PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME53395 Issued in FL

Legal business name

KATHLEEN M. KENNEDY, M.D., PA

Practice address

2750 Bahia Vista St
Suite 134
Sarasota, FL 34239-2600

Phone

(941) 366-9616

Fax

(941) 954-1405

NPI assigned

Sep 28, 2010

Organization subpart

No

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

Authorized official

Name

Kathleen M Kennedy, MD

Title

President

Phone

(941) 366-9616

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1497064216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 BAHIA VISTA ST",
            "address_2": "SUITE 134",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392600",
            "telephone_number": "941-366-9616",
            "fax_number": "941-954-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 BAHIA VISTA ST",
            "address_2": "SUITE 134",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392600",
            "telephone_number": "941-366-9616",
            "fax_number": "941-954-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN M. KENNEDY, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-366-9616",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME53395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• V Daniel Kassicieh, D.O.
• Camille Ann Kasten, APRN FNP-C
• Robert Lee Kasten, PA-C
• Kathleen a Frank LLC
• Kathleen a Frank LLC
• Kathryn Lyden McCabe PLLC
• Benjamin Katz, M.D., M.B.A.
• Michael J Katz, PT
• Kenton J Kauffman, LCSW
• Randi Lynn Kauffman, MD

• Internal Medicine Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.