Individual provider
MR. KENTON A KENNEDY, PTA
CMS NPPES lists MR. KENTON A KENNEDY as an individual provider record with NPI 1548590383. The current record reports a primary practice location in ALACHUA, FL and primary taxonomy code 225700000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location14910 MAIN STALACHUA, FL 326158591
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
225700000XPrimary reported taxonomy225200000XAdditional reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- December 29, 2009
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.