BRUCE S KENNEDY MD PA
NPI 1841240678
Specialist in Ormond Beach, FL

Q: What is Bruce S Kennedy MD PA's NPI number?

The NPI number for Bruce S Kennedy MD PA is 1841240678. It was assigned to this organization in the NPPES registry on May 11, 2006.

Q: What is Bruce S Kennedy MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since May 11, 2006

411 LAKEBRIDGE PLAZA DR, SUITE B, ORMOND BEACH, FL 32174(386) 673-2547(386) 673-6141 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Bruce S Kennedy Md Pa NPPES

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

BRUCE S KENNEDY MD PA (NPI 1841240678) is a healthcare organization registered as a specialist in Ormond Beach, Florida and active in the NPI registry since May 2006. The organization lists Bruce S Kennedy, President, as its authorized official.

NPPES Registry Identity

NPI1841240678

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameBRUCE S KENNEDY MD PA

Location Address411 LAKEBRIDGE PLAZA DR, SUITE BOrmond Beach, FL 32174-5157

Mailing Address411 Lakebridge Plaza Dr, Suite BOrmond Beach, FL 32174-5157 · (386) 673-2547 · Fax (386) 673-6141

Phone(386) 673-2547

Fax(386) 673-6141

Organization SubpartNo

Authorized OfficialBruce S KennedyPresident · (386) 673-2547

Enumeration DateMay 11, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1841240678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME0043975

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

411 LAKEBRIDGE PLAZA DR, Ormond Beach, FL 32174

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Other Identifiers 1

Other02516FL · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Bruce S Kennedy MD PA's NPI number?

The NPI number for Bruce S Kennedy MD PA is 1841240678. It was assigned to this organization in the NPPES registry on May 11, 2006.

Where is Bruce S Kennedy MD PA located?

Bruce S Kennedy MD PA is located at 411 Lakebridge Plaza Dr Suite B, Ormond Beach, FL 32174. The listed phone number is (386) 673-2547.

What is Bruce S Kennedy MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Bruce S Kennedy MD PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.