Kennedy, Kelly

Kennedy, Kelly is an individual health care provider with primary practice located at 3745 11Th Cir Ste 101 , Vero Beach FL 32960-4838. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Kennedy, Kelly can be contacted via phone (772) 567-6412.

Contact Information

Primary practice address
3745 11Th Cir Ste 101 Vero Beach FL 32960-4838
Phone: (772) 567-6412
Fax: (321) 567-4991
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 65523 Wisconsin
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME160223 Florida

Profile Details

NPI number 1992071377
LBN Legal business name Kennedy, Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2012
Last updated Mar 31st, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992071377 NPPES
Wisconsin MEDICAID 100058166

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