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

Shane W Kennedy, MD

Individual provider Nephrology Physician · NPI 1679517569

Shane W Kennedy, MD is a Nephrology in Fort Worth, Texas. Graduated from University of Texas Southwestern Medical School at Dallas in 1998, 28 years ago. Practices with Dialysis Associates, a 26-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
28
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2221 8th Ave
Fort Worth, TX 76110-1812
Phone: (817) 336-5060
Fax: (817) 336-1744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence L6086 (TX)

Record details

NPI number1679517569
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESMarch 18, 2021
Certification dateMarch 18, 2021
Mailing address2221 8th Ave, Fort Worth, TX 76110-1812

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 1998 (28 years in practice)
Group practice Dialysis Associates — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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