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

Timothy Patrick Kennard, MD

Individual provider Family Medicine Physician · NPI 1306904255

Timothy Patrick Kennard, MD is a Family Practice in Indian Trail, North Carolina. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2004, 22 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
22
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
NC
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

4503 Old Monroe Rd
Indian Trail, NC 28079-5309
Phone: (980) 993-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2006-00673 (NC)

Record details

NPI number1306904255
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 4, 2006
Last updated in NPPESJuly 15, 2024
Certification dateApril 14, 2022
Mailing addressPo Box 19305, Charlotte, NC 28219-9305

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2004 (22 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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