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

Michael S. Kennedy, MD

Individual provider Family Medicine Physician · NPI 1417047010

Michael S. Kennedy, MD is a Family Practice in Lindon, Utah. Graduated from Michigan State University College of Human Medicine in 1998, 28 years ago. Practices with Premier Family Medical, a 84-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
28
Trained at
Michigan State University College of Human Medicine
Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

275 W 200 N Ste 204
Lindon, UT 84042-5009
Phone: (801) 796-1333
Fax: (801) 796-0625
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4994501-1205 (UT)

Record details

NPI number1417047010
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESFebruary 6, 2015
Mailing address275 W 200 N, Suite 204, Lindon, UT 84042-5009

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 1998 (28 years in practice)
Group practice Premier Family Medical — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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