1. Home
  2. Directory
  3. Illinois
  4. Springfield
  5. Specialist Technologist Other
  6. NPI Profile

MICHELLE KENNEDY RSA
NPI 1104065713
Specialist/Technologist, Other - Surgical Assistant in Springfield, IL

Active since February 05, 2009
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711(217) 547-9100 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Kennedy Rsa NPPES

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

MICHELLE KENNEDY RSA (NPI 1104065713) is an individual surgical assistant in Springfield, Illinois and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1104065713
Entity TypeIndividualFemale
Primary Taxonomy246ZC0007X
Provider Legal NameMICHELLE KENNEDYCredential: RSA
Location Address1301 S KOKE MILL RDSpringfield, IL 62711-9252
Mailing Address1301 S Koke Mill RdSpringfield, IL 62711-9252 · (217) 547-9100
Phone(217) 547-9100
Sole ProprietorNo
Enumeration DateFebruary 5, 2009
Last NPPES UpdateApril 25, 2022
NPPES CertifiedApril 25, 2022
✔ NPI 1104065713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
Also ListedSpecialist/Technologist, Other · Surgical TechnologistTaxonomy 246ZS0410X
1301 S KOKE MILL RD, Springfield, IL 62711
Open in Google Maps ↗

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.

DR. BRECK A JONES M.D.
Neurological Surgery
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Sangamon County (217) 547-9100
ORTHOPAEDIC CENTER OF ILLINOIS
Physical Medicine & Rehabilitation (Pain Medicine)
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Sangamon County (217) 547-9100
MOLLY L FARRELL DPT
Physical Therapist
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Sangamon County (217) 547-9100
MATTHEW WEBER MD
Neurological Surgery
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Sangamon County (217) 547-9100
MR. DUANE RAY MEYER PT
Physical Therapist
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Sangamon County (217) 547-9100
DANIELLE SHARPSTENE OT
Occupational Therapist
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Sangamon County (217) 547-9100
SCOTT DAVID SCHLEUNES DPM
Podiatrist (Foot & Ankle Surgery)
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Sangamon County (217) 547-9100
KATHY S CELLETTI RNFA
Registered Nurse (Registered Nurse First Assistant)
1301 S KOKE MILL RD
SPRINGFIELD, IL 62711
Sangamon County (217) 547-9100

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 Michelle Kennedy's NPI number?

The NPI number for Michelle Kennedy is 1104065713. It was assigned to this individual provider in the NPPES registry on February 5, 2009.

Where is Michelle Kennedy located?

Michelle Kennedy practices at 1301 S Koke Mill Rd, Springfield, IL 62711. The listed phone number is (217) 547-9100.

What is Michelle Kennedy's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Michelle Kennedy was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.