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

Dr. Kaitlyn Kennard, MD

Individual provider Surgery Physician · NPI 1518320662

Dr. Kaitlyn Kennard, MD is a General Surgery in Saint Louis, Missouri. Graduated from Jefferson Medical College of Thomas Jefferson University in 2016, 10 years ago. Practices with Kennedy Medical Group Practice, PC, a 414-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
MO
In the registry since
2016
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

4921 Parkview Pl Div Surg Oncology Ste 5F
Saint Louis, MO 63110-1032
Phone: (314) 362-2280
Fax: (888) 352-8360
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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 2022029282 (MO)

Record details

NPI number1518320662
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2016
Last updated in NPPESOctober 7, 2022
Certification dateSeptember 27, 2022

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 2016 (10 years in practice)
Group practice Kennedy Medical Group Practice, P.C. — 414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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