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

Kristin Kennedy, DO

Individual provider Surgery Physician · NPI 1639552722

Kristin Kennedy, DO is a General Surgery in Colorado Springs, Colorado. Graduated from Michigan State University College of Osteopathic Medicine in 2015, 11 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Pennsylvania.

Years since qualifying
11
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
CO, PA
In the registry since
2015
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1400 E Boulder St Ste 500
Colorado Springs, CO 80909-5533
Phone: (719) 364-6487
Fax: (719) 364-6488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2000 Memorial Drive, Farrell, PA 16121 — (724) 983-8882

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence DR.0069073 (CO)
Surgery Physician Taxonomy 208600000X · Licence OT017123 (PA)

Record details

NPI number1639552722
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 7, 2015
Last updated in NPPESJuly 29, 2022
Certification dateJuly 29, 2022

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2015 (11 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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