MS. KAYLA NICOLE KENNEDY PA-C
NPI 1467801605
Physician Assistant - Medical in Bristol, CT
About Ms. Kayla Nicole Kennedy Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KAYLA NICOLE KENNEDY PA-C (NPI 1467801605) is an individual medical provider in Bristol, Connecticut and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Kayla Nicole Kennedy Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRISTOL, CT 06010
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 Kayla Kennedy's NPI number?
The NPI number for Kayla Kennedy is 1467801605. It was assigned to this individual provider in the NPPES registry on June 8, 2016.
Where is Kayla Kennedy located?
Kayla Kennedy practices at 22 Pine St Suite 104, Bristol, CT 06010. The listed phone number is (860) 584-8291.
What is Kayla Kennedy's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Kayla Kennedy enrolled in Medicare?
Yes. Kayla Kennedy is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kayla Kennedy was last updated on June 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Ms. Kayla Nicole Kennedy, PA-C · NPI 1467801605
Medical physician in Bristol, Connecticut. Individual provider, active in the CMS NPPES registry since June 8, 2016.
## Identity
- **NPI:** 1467801605 (Entity type: Individual)
- **Enumerated:** June 8, 2016
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 22 PINE ST, SUITE 104, Bristol, CT 06010-6948
- **Phone:** (860) 584-8291
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 8, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1467801605) · Data from the CMS NPPES public registry.