GAGE MICHAEL KENNEDY LPN
NPI 1124800115
Licensed Practical Nurse in Hannibal, NY

Active since October 16, 2023
370 GIFFORD RD, HANNIBAL, NY 13074(315) 602-6059 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gage Michael Kennedy Lpn NPPES

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

GAGE MICHAEL KENNEDY LPN (NPI 1124800115) is an individual licensed practical nurse in Hannibal, New York, licensed in New York (344845) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1124800115
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameGAGE MICHAEL KENNEDYCredential: LPN
Location Address370 GIFFORD RDHannibal, NY 13074-2259
Mailing Address370 Gifford RdHannibal, NY 13074-2259 · (315) 602-6059
Sole ProprietorYes
Enumeration DateOctober 16, 2023
NPPES CertifiedOctober 16, 2023
NPI 1124800115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 344845
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
370 GIFFORD RD, Hannibal, NY 13074

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 Gage Kennedy's NPI number?

The NPI number for Gage Kennedy is 1124800115. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Where is Gage Kennedy located?

Gage Kennedy practices at 370 Gifford Rd, Hannibal, NY 13074. The listed phone number is (315) 602-6059.

What is Gage Kennedy's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Gage Kennedy was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.