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GARY J KENNEDY MD
NPI 1578585063
Family Medicine in Fargo, ND

Active since July 24, 2006
2400 32ND AVE S, FARGO, ND 58103(701) 234-8860(701) 234-8803 Get Directions Write a Review

NPPES record last updated: November 21, 2011. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Gary J Kennedy Md NPPES

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

GARY J KENNEDY MD (NPI 1578585063) is an individual family medicine provider in Fargo, North Dakota, licensed in North Dakota (5965) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1578585063
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGARY J KENNEDYCredential: MD
Location Address2400 32ND AVE SFargo, ND 58103-5800
Mailing Address2400 32nd Ave SFargo, ND 58103-5800 · (701) 234-8860 · Fax (701) 234-8803
Phone(701) 234-8860
Fax(701) 234-8803
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateNovember 21, 2011
✔ NPI 1578585063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ND · 5965
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2400 32ND AVE S, Fargo, ND 58103
Open in Google Maps ↗

Other Identifiers 2

Medicare PINN21618ND
Medicare UPIND80199

Other Providers at the Same Location NPPES 20

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

JASON C MYRMOE MD
Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8779
DANA L STEGMILLER PA-C
Physician Assistant
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8830
DARSHAN SINGH KHANGURA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-7980
KIMBERLY CRANDALL RN, BSN, CDE
Registered Nurse (Diabetes Educator)
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-2245
NAOMI SCHULDT DNP, APRN, FNP-C
Nurse Practitioner (Family)
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-2000
RANDALL A KENNINGER MD
Family Medicine
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8830
JEFFREY ALLEN RONDEAU MD
Obstetrics & Gynecology
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-8880
JEAN PAUL ELIA MANSOUR APRN-CNP
Nurse Practitioner (Family)
2400 32ND AVE S
FARGO, ND 58103
Cass County (701) 234-2000

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 Gary Kennedy's NPI number?

The NPI number for Gary Kennedy is 1578585063. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Gary Kennedy located?

Gary Kennedy practices at 2400 32nd Ave S, Fargo, ND 58103. The listed phone number is (701) 234-8860.

What is Gary Kennedy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gary Kennedy was last updated on November 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.