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KELLY KENNEALY
NPI 1730554411
Student in an Organized Health Care Education/Training Program in Ferguson, MO

Active since December 07, 2015
217 CATHERINE AVE, FERGUSON, MO 63135(314) 650-2820 Get Directions Write a Review

NPPES record last updated: December 7, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kelly Kennealy NPPES

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

KELLY KENNEALY (NPI 1730554411) is an individual student in an organized health care education/training program in Ferguson, Missouri and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1730554411
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY KENNEALY
Location Address217 CATHERINE AVEFerguson, MO 63135-2705
Mailing Address217 Catherine AveFerguson, MO 63135-2705 · (314) 650-2820
Phone(314) 650-2820
Sole ProprietorYes
Enumeration DateDecember 7, 2015
✔ NPI 1730554411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
217 CATHERINE AVE, Ferguson, MO 63135
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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 Kelly Kennealy's NPI number?

The NPI number for Kelly Kennealy is 1730554411. It was assigned to this individual provider in the NPPES registry on December 7, 2015.

Where is Kelly Kennealy located?

Kelly Kennealy practices at 217 Catherine Ave, Ferguson, MO 63135. The listed phone number is (314) 650-2820.

What is Kelly Kennealy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kelly Kennealy was last updated on December 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.