KENNEDY FAMILY MEDICINE
NPI 1770389348
Clinic/Center - Primary Care in Upper Marlboro, MD
About Kennedy Family Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNEDY FAMILY MEDICINE (NPI 1770389348) is a healthcare organization registered as a primary care in Upper Marlboro, Maryland and active in the NPI registry since February 2025. The organization lists Dejanea Tucker, Aprn, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kennedy Family Medicine's NPI number?
The NPI number for Kennedy Family Medicine is 1770389348. It was assigned to this organization in the NPPES registry on February 24, 2025.
Where is Kennedy Family Medicine located?
Kennedy Family Medicine is located at 660 Harry S Truman Dr, Upper Marlboro, MD 20774. The listed phone number is (301) 442-6777.
What is Kennedy Family Medicine's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
When was this NPI record last updated?
The NPPES record for Kennedy Family Medicine was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Kennedy Family Medicine · NPI 1770389348
Primary Care organization in Upper Marlboro, Maryland. Organization record, active in the CMS NPPES registry since February 24, 2025.
## Identity
- **NPI:** 1770389348 (Entity type: Organization)
- **Enumerated:** February 24, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Kennedy Family Medicine (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Dejanea Tucker, APRN
## Practice location
- **Address:** 660 HARRY S TRUMAN DR, Upper Marlboro, MD 20774-2069
- **Phone:** (301) 442-6777
## Record status
- **NPPES last updated:** February 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1770389348) · Data from the CMS NPPES public registry.