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

Kimberly Kennedy, FNP

Individual provider Registered Nurse First Assistant · NPI 1093180531

Kimberly Kennedy, FNP is a Nurse Practitioner in Laurel, Mississippi. Qualified in 2020, 6 years ago. Practices with South Central Clinics, Inc, a 122-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2015
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1410 Jefferson St
Laurel, MS 39440-4243
Phone: (601) 425-7522
Fax: (601) 649-3551
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 874680 (MS)
Registered Nurse First Assistant Taxonomy 163WR0006X · Licence R874680 (MS)

Record details

NPI number1093180531
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 9, 2015
Last updated in NPPESJanuary 25, 2021
Certification dateJanuary 25, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice South Central Clinics, Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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