Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376743856 Individual Practitioner Female Practitioner

Dr. Katherine Chesney Kennedy , MD

Pediatrics • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Dr. Katherine Kennedy, MD is a registered healthcare professional specializing in Pediatrics in Boulder, CO. Practice services are available at 4745 ARAPAHOE AVE STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4745 Arapahoe Ave Ste 200

Boulder, CO 803031082

Telephone 3034403000
Associated Practice Facility / Clinic
🏢 Boulder Medical Center, P.c. Facility NPI 1174156939

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
26 Specialists

Practicing in Boulder, CO (1195 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-08
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CO DR.0060344

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Practice Locations

1551 Professional Ln Ste 240

Longmont, CO 805016972

Phone: 3034403000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners
Dr. Marilyn Newsom , MD

Psychiatry & Neurology - Neurology

NPI 1013991603

Doctor of Medicine (M.D.)

NPI 1013991611

Doctor of Medicine (M.D.)

Dr. Donald Cadora , MD

Radiology - Diagnostic Radiology

NPI 1073597720

Doctor of Medicine (M.D.)

Karen Bant-Kreutzer , ANP-C

Nurse Practitioner - Adult Health

NPI 1093146110

Adult Nurse Practitioner (Certified)

NPI 1093799694

Doctor of Medicine (M.D.)

Leslie Grady , PA

Physician Assistant - Medical

NPI 1114902640

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location July 08, 2025

Registered at 4745 ARAPAHOE AVE STE 200, BOULDER, CO 803031082 (Tel: 3034403000)

📍
Updated Business Mailing Address July 08, 2025

Registered at 2750 BROADWAY ST, BOULDER, CO 803043586 (Tel: 3034403000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2025

Pediatrics (License #DR.0060344 in CO)

📍
Updated Practice Location June 29, 2018

Registered at 2200 OFARRELL ST, SAN FRANCISCO, CA 94115 (Tel: 5102199606)

📍
Updated Business Mailing Address June 29, 2018

Registered at 203 S ROLLIE AVE, FORT LUPTON, CO 806211508 (Tel: 5102199606)

NPI Profile Active July 23, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2007

Registered at 2200 OFARRELL ST, SAN FRANCISCO, CA 941153357 (Tel: 5102199606)

📍
Updated Business Mailing Address July 23, 2007

Registered at 1927 FAIRVIEW ST, BERKELEY, CA 947032718 (Tel: 5102199606)

👤
Provider Name / Credentials Updated July 23, 2007

Recorded as KATHERINE KENNEDY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2007

Pediatrics (License #A95069 in CA)

🟢
Initial NPI Registration & Enumeration July 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376743856
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2007
Last Update: July 08, 2025
Sole Proprietor: No

Mailing Address

2750 Broadway St

Boulder, CO 803043586

Phone: 3034403000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.