MARK S KENNEDY ARNP-BC
NPI 1811028673
Nurse Practitioner - Family in Neosho, MO

Active since March 07, 2007
1355 ROCKETDYNE RD, NEOSHO, MO 64850(417) 451-7425(417) 451-7455 Get Directions Write a Review

NPPES record last updated: October 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2018, Mar 17, 2018, Sep 14, 2017 (3 updates tracked since 2017).

About Mark S Kennedy Arnp-bc NPPES

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

MARK S KENNEDY ARNP-BC (NPI 1811028673) is an individual family provider in Neosho, Missouri, licensed in Missouri (141364) and active in the NPI registry since March 2007. He maintains a secondary practice location in Anderson.

NPPES Registry Identity

NPI1811028673
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARK S KENNEDYCredential: ARNP-BC
Location Address1355 ROCKETDYNE RDNeosho, MO 64850-3106
Mailing AddressPo Box 4725Joplin, MO 64803-4725 · (417) 451-7425 · Fax (417) 451-7455
Fax(417) 451-7455
Sole ProprietorNo
Enumeration DateMarch 7, 2007
Last NPPES UpdateOctober 5, 20183 updates tracked since enumeration
NPI 1811028673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 141364
Also ListedNurse PractitionerTaxonomy 363L00000X · License 45922 (KS), 66851 (OK)
1355 ROCKETDYNE RD, Neosho, MO 64850

Secondary Practice Location 1

Location 1510 Park StAnderson, MO 64831-9280 · Phone (417) 845-0545 · Fax (417) 845-0548

Other Providers at the Same Location NPPES 5

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

Physician Assistant (Medical)
1355 ROCKETDYNE RD
NEOSHO, MO 64850
Internal Medicine
1355 ROCKETDYNE RD
NEOSHO, MO 64850
Chiropractor
1355 ROCKETDYNE RD
NEOSHO, MO 64850
Chiropractor
1355 ROCKETDYNE RD
NEOSHO, MO 64850
Clinic/Center (Rural Health)
1355 ROCKETDYNE RD
NEOSHO, MO 64850

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 Mark Kennedy's NPI number?

The NPI number for Mark Kennedy is 1811028673. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Mark Kennedy located?

Mark Kennedy practices at 1355 Rocketdyne Rd, Neosho, MO 64850. The listed phone number is (417) 451-7425.

What is Mark Kennedy'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 Mark Kennedy was last updated on October 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.