NPIMap

Organization Active NPI

Richard T Kennedy MD LLC

  • Family Medicine Physician
  • Dothan, AL
National Provider Identifier
1790059939
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8459 Issued in AL
Legal business name
RICHARD T KENNEDY MD LLC
Practice address
2115 W Main St
Dothan, AL 36301-1289
Phone
(334) 793-6556
Fax
(334) 793-2583
NPI assigned
Mar 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Richard T Kennedy, M.D.NPI 1942225313
Title
Owner
Phone
(334) 793-6556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 8459 AL Primary

Addresses

Primary practice location

2115 W Main St
Dothan, AL 36301-1289

Mailing address

2115 W Main St
Dothan, AL 36301-1289
Phone (334) 793-6556

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1790059939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011289",
            "telephone_number": "334-793-6556",
            "fax_number": "334-793-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011289",
            "telephone_number": "334-793-6556",
            "fax_number": "334-793-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD T KENNEDY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-793-6556",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "8459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.