Sean P Kennedy, MA

Primary specialty

TechnicianTaxonomy code 374700000X

Practice address

943 Indian Way
Peach Springs, AZ 86434

Phone

(928) 769-2204

NPI assigned

Oct 18, 2012

Last updated

Oct 18, 2012By 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

Credentials

Master of Arts

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1982957619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 INDIAN WAY",
            "city": "PEACH SPRINGS",
            "state": "AZ",
            "postal_code": "86434",
            "telephone_number": "928-769-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 INDIAN WAY",
            "city": "PEACH SPRINGS",
            "state": "AZ",
            "postal_code": "86434",
            "telephone_number": "928-769-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "SEAN",
        "middle_name": "P",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Knesha Antonia Holden
• Hualapai Health Department
• Hualapai Tribe (Peach Springs EMS Rescue)
• Marilyn Huff, R.N.
• Katie John
• Perci V La-Nae, LMSW
• Anita B. Mapatis
• Leslie McGuire, RN
• Scott H Myers, PHARMD
• Donald Bruce Niebel, MD

• Technician in Peach Springs, AZ
• Providers in Peach Springs, AZ by specialty
• Technician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.