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

Kennedy Myers

Individual provider Family Nurse Practitioner · NPI 1205639549

Kennedy Myers is a Nurse Practitioner in Leawood, Kansas. Qualified in 2024, 2 years ago. Practices with Minuteclinic Diagnostic of Kansas PA, a 139-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
2
Licensed in
KS
In the registry since
2025
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Practice location Address checks out

11729 Roe Ave
Leawood, KS 66211-2605
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 53-84206-091 (KS)

Record details

NPI number1205639549
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2025
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025
Mailing address11729 Roe Ave, Leawood, KS 66211-2605

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Minuteclinic Diagnostic Of Kansas Pa — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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