COLAN ASHLEY KENNELLY MD
NPI 1730316886
Family Medicine in Phoenix, AZ

Q: What is Colan Kennelly's NPI number?

The NPI number for Colan Kennelly is 1730316886. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Q: What is Colan Kennelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Colan Kennelly was last updated on June 16, 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 June 16, 2009PECOS Enrolled

1300 N 12TH ST, #605, PHOENIX, AZ 85006(602) 239-4567 Get Directions Write a Review

NPPES record last updated: June 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Colan Ashley Kennelly Md NPPES

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

COLAN ASHLEY KENNELLY MD (NPI 1730316886) is an individual family medicine provider in Phoenix, Arizona, licensed in Arizona (R71518) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730316886

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCOLAN ASHLEY KENNELLYCredential: MD

Location Address1300 N 12TH ST, #605Phoenix, AZ 85006-2848

Mailing Address1300 N 12th St, #605Phoenix, AZ 85006-2848

Phone(602) 239-4567

Sole ProprietorNo

Enumeration DateJune 16, 2009

✔ NPI 1730316886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · R71518

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.

1300 N 12TH ST, Phoenix, AZ 85006

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colan Ashley Kennelly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. DIANA LYNELLE DABELL M.D.

Emergency Medicine

1300 N 12TH ST, STE 301
PHOENIX, AZ 85006

Maricopa County (602) 839-6968

PINNACLE COLON AND RECTAL SURGEONS, PLLC

Specialist

1300 N 12TH ST, SUITE 619
PHOENIX, AZ 85006

Maricopa County (602) 714-5482

INTERNISTS, ONCOLOGISTS LTD

Internal Medicine (Hematology & Oncology)

1300 N 12TH ST, SUITE 612
PHOENIX, AZ 85006

Maricopa County (602) 258-4875

PHILIP KACZAR MD PC

Internal Medicine

1300 N 12TH ST, SUITE #516
PHOENIX, AZ 85006

Maricopa County (602) 252-3967

BARBARA J RUNQUIST NP

Nurse Practitioner

1300 N 12TH ST, SUITE 404
PHOENIX, AZ 85006

Maricopa County (602) 839-0265

DR. ROBERT DEAN RIERSON MD

Obstetrics & Gynecology

1300 N 12TH ST, SUITE 501
PHOENIX, AZ 85006

Maricopa County (602) 839-4915

MISS FARRAH L BLACK PA

Physician Assistant (Medical)

1300 N 12TH ST, STE 500
PHOENIX, AZ 85006

Maricopa County (602) 839-2606

VIKTORIA KRAJNC MD

Family Medicine

1300 N 12TH ST, SUITE 605
PHOENIX, AZ 85006

Maricopa County (602) 839-5271

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 Colan Kennelly's NPI number?

The NPI number for Colan Kennelly is 1730316886. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Where is Colan Kennelly located?

Colan Kennelly practices at 1300 N 12th St #605, Phoenix, AZ 85006. The listed phone number is (602) 239-4567.

What is Colan Kennelly's specialty?

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

Is Colan Kennelly enrolled in Medicare?

Yes. Colan Kennelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Colan Kennelly was last updated on June 16, 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.