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

Kenneth Leon Kennedy

Individual provider Peer Specialist · NPI 1417891219

Kenneth Leon Kennedy is a Peer Specialist in Corvallis, Oregon. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

535 SW 4th St
Corvallis, OR 97333-4429
Phone: (541) 971-3411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1417891219
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2026
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing address535 Sw 4th St, Corvallis, OR 97333-4429

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