Robert Dale Kennedy

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

460 Mitchell Branch
Red Jacket, WV 25692

Phone

(304) 426-4393

NPI assigned

Aug 26, 2020

Last updated

Jun 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1740893098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MITCHELL BRANCH",
            "city": "RED JACKET",
            "state": "WV",
            "postal_code": "25692",
            "telephone_number": "304-426-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MITCHELL BRANCH",
            "city": "RED JACKET",
            "state": "WV",
            "postal_code": "25692",
            "telephone_number": "304-426-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ROBERT",
        "middle_name": "DALE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-26",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jagger Heath Doyle
• Tabitha Leann Ferguson
• Sherry Renee Gross
• Darlene NMN Hensley
• Dexter Jude Jr.
• Carolyn F Lecco
• Paul E Maynard
• Flora Ann Ratliff
• Crystal Shantel Reynolds
• Lauren Elizabeth Runyon

• Personal Care Attendant in Red Jacket, WV
• Providers in Red Jacket, WV by specialty
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.