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

Nicholas Kennedy

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649026030

Nicholas Kennedy is a Student in an Organized Health Care Education/Training Program in Kirksville, Missouri. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1112 S Porter St
Kirksville, MO 63501-1671
Phone: (417) 499-7736
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1649026030
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 25, 2024
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024
Mailing address1112 S Porter St, Kirksville, MO 63501-1671

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