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

Kenneth Kennedy

Individual provider Otolaryngology Physician · NPI 1841653581

Kenneth Kennedy is an Otolaryngology in Columbus, Indiana. Graduated from University of Tennessee, Hsc, College of Medicine in 2016, 10 years ago. Practices with Southern Indiana ENT LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Georgia and Indiana.

Years since qualifying
10
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
GA, IN
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1655 N Gladstone Ave Ste E
Columbus, IN 47201-5380
Phone: (812) 657-8080
Fax: (502) 561-7280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 01085486A (IN)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 96157 (GA)

Record details

NPI number1841653581
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2016
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023
Mailing address1655 N Gladstone Ave Ste E, Columbus, IN 47201-5380

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Southern Indiana Ent Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Columbus