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KRISTAL KENNEDY
NPI 1376978767
Student in an Organized Health Care Education/Training Program in Victor, NY

Active since September 05, 2013
590 FISHERS STATION DR, SUITE 130, VICTOR, NY 14564(585) 924-7207(585) 924-7049 Get Directions Write a Review

NPPES record last updated: September 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristal Kennedy NPPES

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

KRISTAL KENNEDY (NPI 1376978767) is an individual student in an organized health care education/training program in Victor, New York, licensed in New York (P90430) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1376978767
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKRISTAL KENNEDY
Location Address590 FISHERS STATION DR, SUITE 130Victor, NY 14564-9744
Mailing Address590 Fishers Station Dr, Suite 130Victor, NY 14564-9744 · (585) 924-7207 · Fax (585) 924-7049
Phone(585) 924-7207
Fax(585) 924-7049
Sole ProprietorNo
Enumeration DateSeptember 5, 2013
✔ NPI 1376978767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NY · P90430
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
590 FISHERS STATION DR, Victor, NY 14564
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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.

APRIL BECKWITH
Specialist
590 FISHERS STATION DR, SUITE 130
VICTOR, NY 14564
Ontario County (585) 924-7207
KATHLEEN D LOPEZ M.S.
Speech-Language Pathologist
590 FISHERS STATION DR, SUITE 130
VICTOR, NY 14564
Ontario County (585) 924-7207
PAULA SUE LIUCCI COTA/L
Occupational Therapy Assistant
590 FISHERS STATION DR, SUITE 130
VICTOR, NY 14564
Ontario County (585) 924-7207
CHRISTINE LOBENE
Speech-Language Pathologist
590 FISHERS STATION DR, SUITE 130
VICTOR, NY 14564
Ontario County (585) 924-7207
KELLI M THON
Community Health Worker
590 FISHERS STATION DR, SUITE 130
VICTOR, NY 14564
Ontario County (585) 924-7207
KIMBERLY SIMONE
Specialist
590 FISHERS STATION DR, SUITE 130
VICTOR, NY 14564
Ontario County (585) 924-7207
LARA NEWCOMBE
Specialist
590 FISHERS STATION DR, SUITE 130
VICTOR, NY 14564
Ontario County (585) 924-7207
KAREN YATTEAU
Case Manager/Care Coordinator
590 FISHERS STATION DR, SUITE 130
VICTOR, NY 14564
Ontario County (585) 924-7207

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 Kristal Kennedy's NPI number?

The NPI number for Kristal Kennedy is 1376978767. It was assigned to this individual provider in the NPPES registry on September 5, 2013.

Where is Kristal Kennedy located?

Kristal Kennedy practices at 590 Fishers Station Dr Suite 130, Victor, NY 14564. The listed phone number is (585) 924-7207.

What is Kristal Kennedy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kristal Kennedy was last updated on September 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.