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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1316548704

Derek Michael Kennedy, BA is an Addiction (Substance Use Disorder) Counselor in Clinton, Iowa. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

250 20th Ave N
Clinton, IA 52732-2503
Phone: (563) 243-2124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1316548704
Entity typeIndividual (Type 1)
GenderMale
Credentials BA
Sole proprietorNo
NPI enumeratedNovember 3, 2020
Last updated in NPPESNovember 3, 2020
Certification dateNovember 3, 2020
Mailing address250 20th Ave N, Clinton, IA 52732-2503

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