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DR. CHARLES WILLIAM KENNEDY IV MD
NPI 1689329070
General Practice in Jbsa Ft Sam Houston, TX

Active since February 15, 2022
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234(210) 539-5545 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2023, Feb 15, 2022 (2 updates tracked since 2022).

About Dr. Charles William Kennedy Iv Md NPPES

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

DR. CHARLES WILLIAM KENNEDY IV MD (NPI 1689329070) is an individual general practice provider in Jbsa Ft Sam Houston, Texas, licensed in Virginia (0101281057) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1689329070
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. CHARLES WILLIAM KENNEDY IVCredential: MD
Location Address3551 ROGER BROOKE DRJbsa Ft Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504 · (210) 539-5545
Phone(210) 539-5545
Sole ProprietorNo
Enumeration DateFebruary 15, 2022
Last NPPES UpdateJanuary 29, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
✔ NPI 1689329070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101281057
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3551 ROGER BROOKE DR, Jbsa Ft Sam Houston, TX 78234
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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.

JANET JONES SIMS CRNA
Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (253) 223-6272
JAMES KENNEDY HARDIN PA-C
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Bexar County (210) 295-4996
DR. DANIEL VICTOR-CALVIN HAMMOND M.D.
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-3020
JESSICA FULLER LCSW
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 808-1859
DR. JASON ROBERT HALL M.D.
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582
MRS. KATHRYN ELAINE HELLAND LCSW
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582
DR. HALWARD BLEGEN IV DO
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Bexar County (210) 220-7419
KOLE HOLLAND SPAULDING M.D.
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582

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 Charles Kennedy's NPI number?

The NPI number for Charles Kennedy is 1689329070. It was assigned to this individual provider in the NPPES registry on February 15, 2022.

Where is Charles Kennedy located?

Charles Kennedy practices at 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234. The listed phone number is (210) 539-5545.

What is Charles Kennedy's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Charles Kennedy was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.