DR. JAN MALLOY KENNAUGH MD
NPI 1255351797
Pediatrics - Neonatal-Perinatal Medicine in Denver, CO

Q: What is Jan Kennaugh's NPI number?

The NPI number for Jan Kennaugh is 1255351797. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Q: What is Jan Kennaugh's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Jan Kennaugh was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 20, 2006PECOS Enrolled

1601 E 19TH AVE, SUITE 5300, DENVER, CO 80218(303) 839-7440(303) 839-7210 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jan Malloy Kennaugh Md NPPES

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

DR. JAN MALLOY KENNAUGH MD (NPI 1255351797) is an individual neonatal-perinatal medicine provider in Denver, Colorado, licensed in Colorado (25650) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255351797

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameDR. JAN MALLOY KENNAUGHCredential: MD

Location Address1601 E 19TH AVE, SUITE 5300Denver, CO 80218-1216

Mailing Address1601 E 19th Ave, Suite 5300Denver, CO 80218-1216 · (303) 839-7440 · Fax (303) 839-7210

Phone(303) 839-7440

Fax(303) 839-7210

Sole ProprietorNo

Enumeration DateJuly 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1255351797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in CO · 25650

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

1601 E 19TH AVE, Denver, CO 80218

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Other Identifiers 2

Medicaid1256502CO

Medicare UPINE64778CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jan Malloy Kennaugh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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