DR. KENNEDY MCMULLEN M.D.
NPI 1548204878
Specialist in Forest Park, IL

Q: What is Kennedy Mcmullen's NPI number?

The NPI number for Kennedy Mcmullen is 1548204878. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Q: What is Kennedy Mcmullen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Kennedy Mcmullen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 16, 2006

442 JACKSON BLVD, APT. 1N, FOREST PARK, IL 60130(708) 209-1899 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Dr. Kennedy Mcmullen M.d. NPPES

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

DR. KENNEDY MCMULLEN M.D. (NPI 1548204878) is an individual specialist in Forest Park, Illinois and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1548204878

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. KENNEDY MCMULLENCredential: M.D.

Location Address442 JACKSON BLVD, APT. 1NForest Park, IL 60130-1751

Mailing Address442 Jackson Blvd, Apt. 1nForest Park, IL 60130-1751 · (708) 209-1899

Phone(708) 209-1899

Sole ProprietorNo

Enumeration DateJune 16, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1548204878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

442 JACKSON BLVD, Forest Park, IL 60130

Open in Google Maps ↗

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 Kennedy Mcmullen's NPI number?

The NPI number for Kennedy Mcmullen is 1548204878. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Kennedy Mcmullen located?

Kennedy Mcmullen practices at 442 Jackson Blvd Apt. 1N, Forest Park, IL 60130. The listed phone number is (708) 209-1899.

What is Kennedy Mcmullen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kennedy Mcmullen was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.