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MS. STACY ANN KENNEDY A.P.N.
NPI 1720052616
Nurse Practitioner - Adult Health in Mountain Home, AR

Active since February 15, 2006
3 MEDICAL PLZ, MOUNTAIN HOME, AR 72653(870) 424-3400(870) 424-4121 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Stacy Ann Kennedy A.p.n. NPPES

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

MS. STACY ANN KENNEDY A.P.N. (NPI 1720052616) is an individual adult health provider in Mountain Home, Arkansas, licensed in Arkansas (A003832) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1720052616
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. STACY ANN KENNEDYCredential: A.P.N.
Location Address3 MEDICAL PLZMountain Home, AR 72653-2918
Mailing Address3 Medical PlzMountain Home, AR 72653-2918 · (870) 424-3400 · Fax (870) 424-4121
Phone(870) 424-3400
Fax(870) 424-4121
Sole ProprietorNo
Enumeration DateFebruary 15, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1720052616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in AR · A003832
3 MEDICAL PLZ, Mountain Home, AR 72653
Open in Google Maps ↗

Other Identifiers 1

OtherSV086AR · Bcbs

Other Providers at the Same Location NPPES 14

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

DR. KIMBERLY EVE KROEZE PT, DPT
Physical Therapist
3 MEDICAL PLZ
MOUNTAIN HOME, AR 72653
Baxter County (807) 424-3400
MATTHEW D BRANDON
Physical Therapist
3 MEDICAL PLZ
MOUNTAIN HOME, AR 72653
Baxter County (870) 424-3400
SHAUN STUART POTIER DPT
Physical Therapist
3 MEDICAL PLZ
MOUNTAIN HOME, AR 72653
Baxter County (870) 424-3400
MRS. MICHELLE R BIRD CST/CFA
Specialist/Technologist, Other (Surgical Assistant)
3 MEDICAL PLZ
MOUNTAIN HOME, AR 72653
Baxter County (870) 424-3400
DR. THOMAS E KNOX M.D.
Orthopaedic Surgery
3 MEDICAL PLZ
MOUNTAIN HOME, AR 72653
Baxter County (870) 424-3400
RUSSELL B. RAULS MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
3 MEDICAL PLZ
MOUNTAIN HOME, AR 72653
Baxter County (870) 424-3400
ASHER G BOGDANOVE PT
Physical Therapist
3 MEDICAL PLZ
MOUNTAIN HOME, AR 72653
Baxter County (870) 424-3400
MRS. AMANDA TENILLE RAULS APN
Nurse Practitioner (Family)
3 MEDICAL PLZ
MOUNTAIN HOME, AR 72653
Baxter County (870) 424-3400

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 Stacy Kennedy's NPI number?

The NPI number for Stacy Kennedy is 1720052616. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Stacy Kennedy located?

Stacy Kennedy practices at 3 Medical Plz, Mountain Home, AR 72653. The listed phone number is (870) 424-3400.

What is Stacy Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Stacy Kennedy was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.