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KENNETH LEON KENNEDY
NPI 1417891219
Peer Specialist in Corvallis, OR

Active since April 14, 2026
535 SW 4TH ST, CORVALLIS, OR 97333(541) 971-3411 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kenneth Leon Kennedy NPPES

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

KENNETH LEON KENNEDY (NPI 1417891219) is an individual peer specialist in Corvallis, Oregon and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1417891219
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKENNETH LEON KENNEDY
Location Address535 SW 4TH STCorvallis, OR 97333-4429
Mailing Address535 Sw 4th StCorvallis, OR 97333-4429 · (541) 971-3411
Phone(541) 971-3411
Sole ProprietorNo
Enumeration DateApril 14, 2026
NPPES CertifiedApril 14, 2026
✔ NPI 1417891219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
535 SW 4TH ST, Corvallis, OR 97333
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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 Kenneth Kennedy's NPI number?

The NPI number for Kenneth Kennedy is 1417891219. It was assigned to this individual provider in the NPPES registry on April 14, 2026.

Where is Kenneth Kennedy located?

Kenneth Kennedy practices at 535 SW 4th St, Corvallis, OR 97333. The listed phone number is (541) 971-3411.

What is Kenneth Kennedy's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Kennedy was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.