THE KENNEDY CLINIC PLLC
NPI 1508078445
Clinic/Center - Primary Care in Ooltewah, TN

Active since May 04, 2007
4957 SWINYAR DR STE 109, OOLTEWAH, TN 37363(423) 396-9893(423) 396-9508 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2024, Dec 8, 2023, Jul 21, 2022 (3 updates tracked since 2022).

About The Kennedy Clinic Pllc NPPES

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

THE KENNEDY CLINIC PLLC (NPI 1508078445) is a healthcare organization registered as a primary care in Ooltewah, Tennessee and active in the NPI registry since May 2007. The organization lists Howard Michael Kennedy, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1508078445
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTHE KENNEDY CLINIC PLLC
Location Address4957 SWINYAR DR STE 109Ooltewah, TN 37363-2205
Mailing Address4957 Swinyar Dr, Suite 109Ooltewah, TN 37363 · (423) 432-3130 · Fax (423) 396-9508
Fax(423) 396-9508
Organization SubpartNo
Authorized OfficialHoward Michael KennedyManaging Member · (423) 432-3130
Enumeration DateMay 4, 2007
Last NPPES UpdateSeptember 12, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
NPI 1508078445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4957 SWINYAR DR STE 109, Ooltewah, TN 37363

Other Identifiers 3

Other1942280052TN · Kennedy Npi#
Other413276426TN · Kennedy Ss#
Other4136940TN · Kennedy Bcbs

Other Providers at the Same Location NPPES

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

Physician Assistant
4957 SWINYAR DR STE 109
OOLTEWAH, TN 37363

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 The Kennedy Clinic PLLC's NPI number?

The NPI number for The Kennedy Clinic PLLC is 1508078445. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is The Kennedy Clinic PLLC located?

The Kennedy Clinic PLLC is located at 4957 Swinyar Dr Ste 109, Ooltewah, TN 37363. The listed phone number is (423) 396-9893.

What is The Kennedy Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for The Kennedy Clinic PLLC was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.