DANIEL DAVIS KENNEDY MD
NPI 1396486684
Student in an Organized Health Care Education/Training Program in Jackson, MS

Q: What is Daniel Kennedy's NPI number?

The NPI number for Daniel Kennedy is 1396486684. It was assigned to this individual provider in the NPPES registry on April 2, 2022.

Q: What is Daniel Kennedy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Daniel Kennedy was last updated on April 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 02, 2022PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: April 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Daniel Davis Kennedy Md NPPES

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

DANIEL DAVIS KENNEDY MD (NPI 1396486684) is an individual student in an organized health care education/training program in Jackson, Mississippi and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396486684

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDANIEL DAVIS KENNEDYCredential: MD

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address1855 Lakeland Dr Apt 401Jackson, MS 39216-0005 · (601) 955-0056

Phone(601) 984-1000

Sole ProprietorNo

Enumeration DateApril 2, 2022

NPPES CertifiedApril 2, 2022

✔ NPI 1396486684 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

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.

2500 N STATE ST, Jackson, MS 39216

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Davis Kennedy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)