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EDMUND KENNEDY MD
NPI 1902075435
Otolaryngology in Fort Smith, AR

Active since February 28, 2008
1501 S WALDRON RD, STE 107, FORT SMITH, AR 72903(479) 573-7980(479) 573-7981 Get Directions Write a Review

NPPES record last updated: August 13, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edmund Kennedy Md NPPES

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

EDMUND KENNEDY MD (NPI 1902075435) is an individual otolaryngology provider in Fort Smith, Arkansas, licensed in Arkansas (R3286) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1902075435
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameEDMUND KENNEDYCredential: MD
Location Address1501 S WALDRON RD, STE 107Fort Smith, AR 72903-2574
Mailing AddressPo Box 402319Atlanta, GA 30384-2319 · (479) 709-7399 · Fax (479) 709-7053
Phone(479) 573-7980
Fax(479) 573-7981
Sole ProprietorYes
Enumeration DateFebruary 28, 2008
Last NPPES UpdateAugust 13, 2010
✔ NPI 1902075435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in AR · R3286
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1501 S WALDRON RD, Fort Smith, AR 72903
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Other Identifiers 3

Medicare PIN5AB67AR
Medicaid107739001AR
Medicaid100055840AOK

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.

FT SMITH HMA PHYSICIAN MANAGEMENT, LLC
Pediatrics
1501 S WALDRON RD, SUITE 100
FORT SMITH, AR 72903
Sebastian County (479) 709-7337
KIDS CHOICE FORT SMITH
Dentist
1501 S WALDRON RD, SUITE 200
FORT SMITH, AR 72903
Sebastian County (479) 452-8650
MANAR S IBRAHIM MD
Pediatrics
1501 S WALDRON RD, STE 100
FORT SMITH, AR 72903
Sebastian County (479) 709-7337
CYNTHIA K ASHCRAFT MD
Pediatrics
1501 S WALDRON RD, STE 100
FORT SMITH, AR 72903
Sebastian County (479) 709-7337
TYLER WAYNE TUSTIN
Occupational Therapist
1501 S WALDRON RD
FORT SMITH, AR 72903
Sebastian County (479) 226-3409
FT SMITH HMA PBC MANAGEMENT, LLC
Otolaryngology
1501 S WALDRON RD, SUITE 107
FORT SMITH, AR 72903
Sebastian County (479) 573-7980
DR. PAUL L WINBORN II DDS
Dentist (General Practice)
1501 S WALDRON RD, ST. 208
FORT SMITH, AR 72903
Sebastian County (479) 478-9955
MRS. JILLIAN TYLAR SWAIN DNP-FNP
Nurse Practitioner
1501 S WALDRON RD
FORT SMITH, AR 72903
Sebastian County (479) 755-6900

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 Edmund Kennedy's NPI number?

The NPI number for Edmund Kennedy is 1902075435. It was assigned to this individual provider in the NPPES registry on February 28, 2008.

Where is Edmund Kennedy located?

Edmund Kennedy practices at 1501 S Waldron Rd Ste 107, Fort Smith, AR 72903. The listed phone number is (479) 573-7980.

What is Edmund Kennedy's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Edmund Kennedy was last updated on August 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.