Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colleen I Kennedy, MD

Individual provider Surgery Physician · NPI 1508897810

Colleen I Kennedy, MD is a General Surgery in Rockwall, Texas. Graduated from Jefferson Medical College of Thomas Jefferson University in 1996, 30 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Louisiana and Texas.

Years since qualifying
30
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
LA, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4450 Tubbs Rd
Rockwall, TX 75032-6308
Phone: (214) 775-1356
Fax: (214) 613-2231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence M7325 (TX)
Surgery Physician Taxonomy 208600000X · Licence MD.15581R (LA)

Record details

NPI number1508897810
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 5, 2006
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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