KATHLEEN MARIE FENNELLY R.N., N.P,
NPI 1649262429
Nurse Practitioner - Obstetrics & Gynecology in San Luis Obispo, CA

Q: What is Kathleen Fennelly's NPI number?

The NPI number for Kathleen Fennelly is 1649262429. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Q: What is Kathleen Fennelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Fennelly was last updated on August 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since August 18, 2005

896 E FOOTHILL BLVD, SAN LUIS OBISPO, CA 93405(805) 542-0900 Get Directions Write a Review

NPPES record last updated: August 6, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kathleen Marie Fennelly R.n., N.p, NPPES

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

KATHLEEN MARIE FENNELLY R.N., N.P, (NPI 1649262429) is an individual obstetrics & gynecology provider in San Luis Obispo, California, licensed in California (7319) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1649262429

Entity TypeIndividualFemale

Primary Taxonomy363LX0001X

Provider Legal NameKATHLEEN MARIE FENNELLYCredential: R.N., N.P,

Location Address896 E FOOTHILL BLVDSan Luis Obispo, CA 93405-1761

Mailing Address896 E Foothill BlvdSan Luis Obispo, CA 93405-1761 · (805) 542-0900

Phone(805) 542-0900

Sole ProprietorNo

Enumeration DateAugust 18, 2005

Last NPPES UpdateAugust 6, 2009

✔ NPI 1649262429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LX0001X

License✔ Licensed in CA · 7319

896 E FOOTHILL BLVD, San Luis Obispo, CA 93405

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Other Identifiers 2

Other456414CA · Rn License #

Other7319CA · Np License #

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 Kathleen Fennelly's NPI number?

The NPI number for Kathleen Fennelly is 1649262429. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Kathleen Fennelly located?

Kathleen Fennelly practices at 896 E Foothill Blvd, San Luis Obispo, CA 93405. The listed phone number is (805) 542-0900.

What is Kathleen Fennelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

When was this NPI record last updated?

The NPPES record for Kathleen Fennelly was last updated on August 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.