MICHAEL KENNEDY-YOON MD
NPI 1477297927
Student in an Organized Health Care Education/Training Program in Syracuse, NY

Q: What is Michael Kennedy-yoon's NPI number?

The NPI number for Michael Kennedy-yoon is 1477297927. It was assigned to this individual provider in the NPPES registry on April 21, 2022.

Q: What is Michael Kennedy-yoon's specialty?

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

Active since April 21, 2022PECOS Enrolled

1 CHILDRENS CIR, SYRACUSE, NY 13210(315) 464-5540 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Michael Kennedy-yoon Md NPPES

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

MICHAEL KENNEDY-YOON MD (NPI 1477297927) is an individual student in an organized health care education/training program in Syracuse, New York and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477297927

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMICHAEL KENNEDY-YOONCredential: MD

Location Address1 CHILDRENS CIRSyracuse, NY 13210-1634

Mailing Address747 E Kensington AveSalt Lake City, UT 84105-2224 · (801) 554-3311

Phone(315) 464-5540

Sole ProprietorYes

Enumeration DateApril 21, 2022

NPPES CertifiedApril 21, 2022

✔ NPI 1477297927 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.

1 CHILDRENS CIR, Syracuse, NY 13210

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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)

Michael Kennedy-yoon 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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH RAY MD

Student in an Organized Health Care Education/Training Program