James Kennedy Jr.

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

4950 Issued in FL

Practice address

2023 Rosewood Cir
Lakeland, FL 33810-5179

Phone

(215) 397-6952

NPI assigned

Jul 22, 2026

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1558282962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 ROSEWOOD CIR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338105179",
            "telephone_number": "215-397-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 ROSEWOOD CIR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338105179",
            "telephone_number": "215-397-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JAMES",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "4950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Brandon Kelso, D.M.D.
• Shannon Holer Kelso, DMD
• Melissa Marie Kemple, CRNA
• Shantele Louise Kempvanee, DO
• Erica Kendrick, COTA/L
• Rebecca Marie Kennedy, HAS
• Robert Kennedy
• Shelby Kennedy, PSYD
• Susan Emily Kennedy
• Kenneth L. Mundy D.D.S., P.a.

• Surgical Assistant in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.