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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

KENNEDY MCCLELLAND
NPI 1235058579
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since July 11, 2026
4170 CITY AVE, PHILADELPHIA, PA 19131(215) 871-6100 Get Directions Write a Review

NPPES record added: July 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kennedy Mcclelland NPPES

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

KENNEDY MCCLELLAND (NPI 1235058579) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1235058579
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKENNEDY MCCLELLAND
Location Address4170 CITY AVEPhiladelphia, PA 19131-1610
Mailing Address4170 City AvePhiladelphia, PA 19131-1610
Phone(215) 871-6100
Sole ProprietorYes
Enumeration DateJuly 11, 2026
NPPES CertifiedJuly 12, 2026
✔ NPI 1235058579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4170 CITY AVE, Philadelphia, PA 19131
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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. JAWAD AHMAD DO
Student in an Organized Health Care Education/Training Program
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
COURTNEY HARTWELL
Physician Assistant
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
SHAINA YADAV
Physician Assistant
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
SIMONA KOGAN
Student in an Organized Health Care Education/Training Program
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
ALICE VO
Student in an Organized Health Care Education/Training Program
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100
BRIANNA BECKER
Physician Assistant
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6380
DANIELA D MARINARO
Orthopaedic Surgery
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6700
ZUHRA NASSERY
Physician Assistant (Surgical)
4170 CITY AVE
PHILADELPHIA, PA 19131
Philadelphia County (215) 871-6100

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 Kennedy Mcclelland's NPI number?

The NPI number for Kennedy Mcclelland is 1235058579. It was assigned to this individual provider in the NPPES registry on July 11, 2026.

Where is Kennedy Mcclelland located?

Kennedy Mcclelland practices at 4170 City Ave, Philadelphia, PA 19131. The listed phone number is (215) 871-6100.

What is Kennedy Mcclelland's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kennedy Mcclelland was last updated on July 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.