COLLIN KENNEDY
NPI 1790629954
Military Health Care Provider - Independent Duty Corpsman in Staten Island, NY

Q: What is Collin Kennedy's NPI number?

The NPI number for Collin Kennedy is 1790629954. It was assigned to this individual provider in the NPPES registry on April 17, 2026.

Q: What is Collin Kennedy's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Collin Kennedy was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 17, 2026

212 COAST GUARD DR, STATEN ISLAND, NY 10305(718) 354-4353 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Collin Kennedy NPPES

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

COLLIN KENNEDY (NPI 1790629954) is an individual independent duty corpsman provider in Staten Island, New York and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1790629954

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameCOLLIN KENNEDY

Location Address212 COAST GUARD DRStaten Island, NY 10305-5005

Mailing Address212 Coast Guard DrStaten Island, NY 10305-5005

Phone(718) 354-4353

Sole ProprietorNo

Enumeration DateApril 17, 2026

NPPES CertifiedApril 17, 2026

✔ NPI 1790629954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

212 COAST GUARD DR, Staten Island, NY 10305

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Other Providers at the Same Location NPPES

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

DR. QUIRICO CECILIO CABREDO M.D.

Family Medicine

212 COAST GUARD DR, RM-D113
STATEN ISLAND, NY 10305

Richmond County (718) 354-4414

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 Collin Kennedy's NPI number?

The NPI number for Collin Kennedy is 1790629954. It was assigned to this individual provider in the NPPES registry on April 17, 2026.

Where is Collin Kennedy located?

Collin Kennedy practices at 212 Coast Guard Dr, Staten Island, NY 10305. The listed phone number is (718) 354-4353.

What is Collin Kennedy's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Collin Kennedy was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.