BOBBI GABRIELE KENNEDY IDMT
NPI 1366676462
Military Health Care Provider - Independent Duty Medical Technicians in Portland, OR

Active since May 05, 2009
6801 NE CORNFOOT ROAD, PORTLAND, OR 97218(503) 335-4557(503) 335-5609 Get Directions Write a Review

NPPES record last updated: May 5, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bobbi Gabriele Kennedy Idmt NPPES

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

BOBBI GABRIELE KENNEDY IDMT (NPI 1366676462) is an individual independent duty medical technicians provider in Portland, Oregon and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1366676462
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameBOBBI GABRIELE KENNEDYCredential: IDMT
Location Address6801 NE CORNFOOT ROADPortland, OR 97218
Mailing Address6801 Ne Cornfoot RoadPortland, OR 97218 · (503) 335-4557 · Fax (503) 335-5609
Fax(503) 335-5609
Sole ProprietorNo
Enumeration DateMay 5, 2009
NPI 1366676462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
6801 NE CORNFOOT ROAD, Portland, OR 97218

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 Bobbi Kennedy's NPI number?

The NPI number for Bobbi Kennedy is 1366676462. It was assigned to this individual provider in the NPPES registry on May 5, 2009.

Where is Bobbi Kennedy located?

Bobbi Kennedy practices at 6801 NE Cornfoot Road, Portland, OR 97218. The listed phone number is (503) 335-4557.

What is Bobbi Kennedy's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Bobbi Kennedy was last updated on May 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.