DR. KENNEDY PHILLIPS DO
NPI 1801581830
Student in an Organized Health Care Education/Training Program in Phoenix, AZ
About Dr. Kennedy Phillips Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNEDY PHILLIPS DO (NPI 1801581830) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kennedy Phillips Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PHOENIX, AZ 85008
PHOENIX, AZ 85008
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 Phillips's NPI number?
The NPI number for Kennedy Phillips is 1801581830. It was assigned to this individual provider in the NPPES registry on April 6, 2023.
Where is Kennedy Phillips located?
Kennedy Phillips practices at 2601 E Roosevelt St, Phoenix, AZ 85008. The listed phone number is (602) 344-5011.
What is Kennedy Phillips's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kennedy Phillips enrolled in Medicare?
Yes. Kennedy Phillips is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kennedy Phillips was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.
# Dr. Kennedy Phillips, DO · NPI 1801581830
Student in an Organized Health Care Education/Training Program provider in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since April 6, 2023.
## Identity
- **NPI:** 1801581830 (Entity type: Individual)
- **Enumerated:** April 6, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2601 E ROOSEVELT ST, Phoenix, AZ 85008-4973
- **Phone:** (602) 344-5011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1801581830) · Data from the CMS NPPES public registry.