Kevin P Kennedy, C.P.

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

1100 Garden Hwy.
Ste. 900
Yuba City, CA 95991-7598

Phone

(530) 673-6913

Fax

(530) 671-6915

NPI assigned

Jun 13, 2008

Last updated

Mar 25, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kevin Kennedy Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elite Biomechanical Design

  • Prosthetic/Orthotic Supplier
  • Yuba City, CA
  • NPI 1003150210
  NPD (past)
• Elite Biomechanical Design

  • Prosthetic/Orthotic Supplier
  • Paradise, CA
  • NPI 1043758196
  NPD (past)

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1922268788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 S BOLLING RD",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890484642",
            "telephone_number": "702-468-2376",
            "fax_number": "702-823-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GARDEN HWY.",
            "address_2": "STE. 900",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959917598",
            "telephone_number": "530-673-6913",
            "fax_number": "530-671-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KEVIN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "C.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "AK",
            "license": "ABCCP003164BOCC15566",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "KENNEDY",
            "credential": "KEVIN KENNEDY CP&O",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sandeep Kaur
• Simranjit Kaur, MPH
• Ranae Keller
• Taylor Ryan Kelley, SUDC
• Patricia Lynn Kemberling, M.D.
• Alexander Keown
• Maleah Kerr
• Kesav Health and Wellness Licensed Clinical Social Worker PC
• Mohammad Ibrahim Khaliqi
• Harsimran Khalsa, DC

• Prosthetist in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Prosthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.