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

Kennedy Kilderry, PA

Individual provider Physician Assistant · NPI 1700591211

Kennedy Kilderry, PA is a Physician Assistant in Carrollton, Texas. Qualified in 2022, 4 years ago. Practices with Primary Health Physicians PLLC, a 238-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1017 W Hebron Pkwy
Carrollton, TX 75010-1113
Phone: (972) 939-9495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1700591211
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 18, 2023
Last updated in NPPESJanuary 18, 2023
Certification dateJanuary 18, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Primary Health Physicians Pllc — 238 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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