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DEREK MICHAEL KENNEDY BA
NPI 1316548704
Counselor - Addiction (Substance Use Disorder) in Clinton, IA

Active since November 03, 2020
250 20TH AVE N, CLINTON, IA 52732(563) 243-2124 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Derek Michael Kennedy Ba NPPES

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

DEREK MICHAEL KENNEDY BA (NPI 1316548704) is an individual addiction (substance use disorder) provider in Clinton, Iowa and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1316548704
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDEREK MICHAEL KENNEDYCredential: BA
Location Address250 20TH AVE NClinton, IA 52732-2503
Mailing Address250 20th Ave NClinton, IA 52732-2503 · (563) 243-2124
Phone(563) 243-2124
Sole ProprietorNo
Enumeration DateNovember 3, 2020
NPPES CertifiedNovember 3, 2020
✔ NPI 1316548704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
250 20TH AVE N, Clinton, IA 52732
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Other Providers at the Same Location NPPES 2

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

KELLY JEAN SAUL MA
Counselor (Addiction (Substance Use Disorder))
250 20TH AVE N
CLINTON, IA 52732
Clinton County (563) 243-2124
THERESA RIEGER
Case Manager/Care Coordinator
250 20TH AVE N
CLINTON, IA 52732
Clinton County (563) 243-2124

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 Derek Kennedy's NPI number?

The NPI number for Derek Kennedy is 1316548704. It was assigned to this individual provider in the NPPES registry on November 3, 2020.

Where is Derek Kennedy located?

Derek Kennedy practices at 250 20th Ave N, Clinton, IA 52732. The listed phone number is (563) 243-2124.

What is Derek Kennedy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Derek Kennedy was last updated on November 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.