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

Ethan Kennedy, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1326807462

Ethan Kennedy, DO is a Student in an Organized Health Care Education/Training Program in Rochester, New York. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1425 Portland Ave
Rochester, NY 14621-3011
Phone: (585) 922-4683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9225 University Blvd Ste E2a, North Charleston, SC 29406-9149 — (843) 998-1222

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1326807462
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 18, 2024
Last updated in NPPESJune 11, 2025
Certification dateJune 3, 2025

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