MR. KENNETH EDWARD DEMOTT FNP
NPI 1730419870
Nurse Practitioner - Family in Sidney, NY

Active since January 13, 2010
39 PEARL ST W, SIDNEY, NY 13838(607) 561-2021 Get Directions Write a Review

NPPES record last updated: February 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kenneth Edward Demott Fnp NPPES

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

MR. KENNETH EDWARD DEMOTT FNP (NPI 1730419870) is an individual family provider in Sidney, New York, licensed in New York (336161) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1730419870
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. KENNETH EDWARD DEMOTTCredential: FNP
Location Address39 PEARL ST WSidney, NY 13838-1330
Mailing Address39 Pearl St WSidney, NY 13838-1330 · (607) 561-2021 · Fax (607) 563-2663
Sole ProprietorYes
Enumeration DateJanuary 13, 2010
Last NPPES UpdateFebruary 24, 2010
NPI 1730419870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 336161
39 PEARL ST W, Sidney, NY 13838

Other Names 1

Other Name (5)Mr. Kenneth Edward Demott

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
39 PEARL ST W
SIDNEY, NY 13838
Nurse Practitioner (Family)
39 PEARL ST W
SIDNEY, NY 13838
Family Medicine
39 PEARL ST W
SIDNEY, NY 13838
Internal Medicine
39 PEARL ST W
SIDNEY, NY 13838
Family Medicine
39 PEARL ST W
SIDNEY, NY 13838
Nurse Practitioner
39 PEARL ST W
SIDNEY, NY 13838

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 Kenneth Demott's NPI number?

The NPI number for Kenneth Demott is 1730419870. It was assigned to this individual provider in the NPPES registry on January 13, 2010. The provider is also known as Mr. Kenneth Edward Demott.

Where is Kenneth Demott located?

Kenneth Demott practices at 39 Pearl St W, Sidney, NY 13838. The listed phone number is (607) 561-2021.

What is Kenneth Demott's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kenneth Demott was last updated on February 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.