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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRISTI NICOLE JOHNSON KENNEDY DDS, MPH
NPI 1376942573
Dentist - Periodontics in Scott Afb, IL

Active since August 14, 2014
310 W LOSEY ST, SCOTT AFB, IL 62225(618) 256-2833 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2021, Dec 28, 2020 (2 updates tracked since 2020).

About Kristi Nicole Johnson Kennedy Dds, Mph NPPES

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

KRISTI NICOLE JOHNSON KENNEDY DDS, MPH (NPI 1376942573) is an individual periodontics provider in Scott Afb, Illinois, licensed in Texas (29922) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1376942573
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameKRISTI NICOLE JOHNSON KENNEDYCredential: DDS, MPH
Location Address310 W LOSEY STScott Afb, IL 62225-5250
Mailing Address310 W Losey StScott Afb, IL 62225-5250
Phone(618) 256-2833
Sole ProprietorNo
Enumeration DateAugust 14, 2014
Last NPPES UpdateJune 23, 20262 updates tracked since enumeration
NPPES CertifiedJune 23, 2026
✔ NPI 1376942573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in TX · 29922
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 29922 (TX)
310 W LOSEY ST, Scott Afb, IL 62225
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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. TODD ALAN SCHULTZ D.M.D.
Dentist (Oral and Maxillofacial Surgery)
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-7079
DAWN WILSON PT
Physical Therapist
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-6267
MR. SEAN J MCNAMARA RPH.
Pharmacist
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-6150
DR. PATSY FRANCES KREMSREITER MD
Family Medicine
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-9355
JOAN FOMBOH TELAZIE-SIMONS RN
Registered Nurse
310 W LOSEY ST
SCOTT AIR FORCE BASE, IL 62225
St. Clair County (618) 256-9355
DR. SARAH KATHERINE TURBUSH DDS
Dentist (Prosthodontics)
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-6667
DR. CASEY TIMMERMAN DO
Obstetrics & Gynecology
310 W LOSEY ST
SCOTT AFB, IL 62225
St. Clair County (618) 256-7669
CHRISTINE LEIGH KMIECIK
Social Worker (Clinical)
310 W LOSEY ST
SCOTT AIR FORCE BASE, IL 62225
St. Clair County (618) 256-9355

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 Kristi Kennedy's NPI number?

The NPI number for Kristi Kennedy is 1376942573. It was assigned to this individual provider in the NPPES registry on August 14, 2014.

Where is Kristi Kennedy located?

Kristi Kennedy practices at 310 W Losey St, Scott Afb, IL 62225. The listed phone number is (618) 256-2833.

What is Kristi Kennedy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Kristi Kennedy was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 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.