Kymberly Jean Kennedy

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0247 Issued in SD

Practice address

410 4TH St NW
Watertown, SD 57201-2332

Phone

(605) 868-1072

NPI assigned

Oct 11, 2007

Sex

Female

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": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1669660957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 4TH ST NW",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572012332",
            "telephone_number": "605-868-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 4TH ST NW",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572012332",
            "telephone_number": "605-868-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KYMBERLY",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SD",
            "license": "0247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Kamlitz, MD
• Amanda Kannas, RN
• Jacklyn Ann Karli, CNP
• Sunny Christine Karst, SLP
• Stacey Ann Kemmis, PHARMD
• Kiefer Chiropractic Clinic, P.L.L.C.
• Gary M Kiefer, DC
• Brett King, AUD
• William Robert Kingsley
• John Jacob Kinross-Wright, M.D.

• Physical Therapy Assistant in Watertown, SD
• Providers in Watertown, SD by specialty
• Physical Therapy Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.