KENNEDY A KING DO - NPI 1114667540 - Family Medicine in South Charleston, WV

Q: What is Kennedy King's NPI number?

The NPI number for Kennedy King is 1114667540. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Q: What is Kennedy King's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kennedy King was last updated on August 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kennedy A King Do NPPES

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

KENNEDY A KING DO (NPI 1114667540) is an individual family medicine provider in South Charleston, West Virginia, licensed in West Virginia (4737) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1114667540

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKENNEDY A KINGCredential: DO

Location Address506 CHESTNUT STSouth Charleston, WV 25309-1204

Mailing Address506 Chestnut StSouth Charleston, WV 25309-1204 · Fax (606) 436-6988

Phone(304) 766-8558

Fax(304) 766-8561

Sole ProprietorNo

Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2022

Enumeration DateApril 1, 2022

Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration

NPPES CertifiedAugust 13, 2025

✔ NPI 1114667540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WV · 4737

Definition

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.

506 CHESTNUT ST, South Charleston, WV 25309

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Secondary Practice Location 1

Location 13200 MacCorkle Ave SE Fl 5Charleston, WV 25304-1297 · Phone (304) 388-4600 · Fax (304) 388-4603

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kennedy A King Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133575871

PECOS Enrollment IDI20251003000231

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510029

Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

DRS DEWITT & GIBSON, PLLC

Family Medicine