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

Collin Kennedy

Individual provider Independent Duty Corpsman · NPI 1790629954

Collin Kennedy is an Independent Duty Corpsman in Staten Island, New York. Registered with an NPI since 2026.

In the registry since
2026
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Practice location Address checks out

212 Coast Guard Dr
Staten Island, NY 10305-5005
Phone: (718) 354-4353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1790629954
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 17, 2026
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

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