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

Mrs. Nicole Dyan Kennedy, PA

Individual provider Physician Assistant · NPI 1730412958

Mrs. Nicole Dyan Kennedy, PA is a Physician Assistant in Denver, Colorado. Qualified in 2009, 17 years ago. Practices with Rocky Mountain Kidney Care LLC, a 16-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
17
Licensed in
CO
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

850 E Harvard Ave Ste 285
Denver, CO 80210
Phone: (303) 777-3333
Fax: (303) 733-4441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2841 (CO)

Record details

NPI number1730412958
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 8, 2009
Last updated in NPPESOctober 7, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Rocky Mountain Kidney Care Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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