NICOLE L. KENNEDY MD – NPI #1780902486
Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
NICOLE KENNEDY is a physician located in MARION, IL. NPPES has assigned the NPI number 1780902486 to NICOLE KENNEDY on May 06, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.
The NPI profile was previously updated about 3 years ago on Aug 21, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICOLE KENNEDY below.
NPI Profile for
NICOLE L. KENNEDY
(more than 16 years ago)
SIMCA
MARION, IL 62959 Phone: (618) 997-2161 Fax: (618) 997-2464
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
SC | 32561 |
| 208M00000X - Hospitalist |
IL | 036132187 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
NICOLE KENNEDY is affiliated with the following medical group(s):
- HOSPITAL
- ANNA HOSPITAL CORPORATION D/B/A UNION COUNTY HOSPITAL517 NORTH MAIN STREET
ANNA, IL 62906 - HEARTLAND REGIONAL MEDICAL CENTER3333 W DEYOUNG
MARION, IL 62959 - HERRIN HOSPITAL201 S 14TH ST
HERRIN, IL 62948 - MEMORIAL HOSPITAL OF CARBONDALE405 W JACKSON
CARBONDALE, IL 62901
- ANNA HOSPITAL CORPORATION D/B/A UNION COUNTY HOSPITAL517 NORTH MAIN STREET
- HOME HEALTH AGENCY
- LHC-ILLINOIS HOME HEALTH CARE906 SKYLINE DRIVE, SUITE 200
MARION, IL 62959 - REGIONAL HOME CARE - CROSSROADS4111 N WATER TOWER PLACE SUITE E
MOUNT VERNON, IL 62864
- LHC-ILLINOIS HOME HEALTH CARE906 SKYLINE DRIVE, SUITE 200
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