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DR. ROBERT MICHAEL KENNEDY M.D.
NPI 1043219694
Psychiatry & Neurology - Neurology in Pocatello, ID

Active since July 16, 2005
777 HOSPITAL WAY, G15, POCATELLO, ID 83201(208) 239-2722(208) 239-3759 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Robert Michael Kennedy M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT MICHAEL KENNEDY M.D. (NPI 1043219694) is an individual neurology provider in Pocatello, Idaho, licensed in Idaho (M4241) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1043219694
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. ROBERT MICHAEL KENNEDYCredential: M.D.
Location Address777 HOSPITAL WAY, G15Pocatello, ID 83201-5175
Mailing Address777 Hospital Way, G15Pocatello, ID 83201-5175 · (208) 239-2722 · Fax (208) 239-3759
Phone(208) 239-2722
Fax(208) 239-3759
Sole ProprietorNo
Enumeration DateJuly 16, 2005
Last NPPES UpdateJanuary 31, 2013
✔ NPI 1043219694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in ID · M4241
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

777 HOSPITAL WAY, Pocatello, ID 83201
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Other Identifiers 2

Medicare ID-Type Unspecified1114007
Medicare UPINC47841

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. EUNICE GRACE GARDNER PH.D.
Psychologist (Adult Development & Aging)
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1710
JESS LUFKIN CRNA
Nurse Anesthetist, Certified Registered
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 716-7215
ROGER A COOK MD
Anesthesiology
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1000
JASON MONTGOMERY NP-C
Nurse Practitioner (Family)
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-2580
ALYSSA M WOODBURY PA-C
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1226
SHANNON ALISON WEBB PA-C
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 239-1000
MEDICAL IMAGING ASSOC OF IDAHO FALLS, PA
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 227-2600
BRICE ANDERSON MSAT, LAT, ATC, CSCS
Specialist/Technologist (Athletic Trainer)
777 HOSPITAL WAY
POCATELLO, ID 83201
Bannock County (208) 242-8650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Kennedy's NPI number?

The NPI number for Robert Kennedy is 1043219694. It was assigned to this individual provider in the NPPES registry on July 16, 2005.

Where is Robert Kennedy located?

Robert Kennedy practices at 777 Hospital Way G15, Pocatello, ID 83201. The listed phone number is (208) 239-2722.

What is Robert Kennedy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Robert Kennedy was last updated on January 31, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.