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KATHLEEN KENNELLY MD
NPI 1295724649
Psychiatry & Neurology - Neurology in Jacksonville, FL

Active since October 18, 2005
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2020, Dec 13, 2017 (2 updates tracked since 2017).

About Kathleen Kennelly Md NPPES

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

KATHLEEN KENNELLY MD (NPI 1295724649) is an individual neurology provider in Jacksonville, Florida, licensed in Florida (ME64879) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1295724649
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameKATHLEEN KENNELLYCredential: MD
Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865
Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865
Phone(904) 953-2000
Sole ProprietorNo
Enumeration DateOctober 18, 2005
Last NPPES UpdateAugust 28, 20202 updates tracked since enumeration
NPPES CertifiedAugust 28, 2020
✔ NPI 1295724649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in FL · ME64879
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4500 SAN PABLO RD S, Jacksonville, FL 32224
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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.

KATHERINE L WALSH PA-C/MPH
Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
DR. JAMI ANN ROTHE KINNUCAN M.D.
Internal Medicine (Gastroenterology)
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
GLENN SHI MD
Orthopaedic Surgery
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
MICHELLE TULANG MD
Internal Medicine
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
RICARDO PAGAN MD
Hospitalist
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
CRYSTAL LYNN CRNA
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
LAUREN E FREED CRNA
Nurse Anesthetist, Certified Registered
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
MRS. MELINA VOLNER SOMMESE PA-C
Physician Assistant
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224
Duval County (904) 953-2594

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 Kathleen Kennelly's NPI number?

The NPI number for Kathleen Kennelly is 1295724649. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Kathleen Kennelly located?

Kathleen Kennelly practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.

What is Kathleen Kennelly's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Kathleen Kennelly was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.