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Deactivated NPI 1104828631 Deactivated / Inactive NPI Male Practitioner

Dr. David S Kennedy , MD

Pediatrics • Pennsburg, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. David Kennedy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 15, 2005
NPI Deactivation Date February 01, 2017
Total Practice Duration ~12 Years of Practice (2005 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. David Kennedy, MD was a registered Pediatrics practicing in Pennsburg, PA. Throughout an active medical career spanning 12 years, Dr. Kennedy provided care at the practice location at 925 MAIN ST until profile deactivation on 2017-02-01.

Practice Location & Contact Primary Location

Practice Address

925 Main St
Suite 100

Pennsburg, PA 180731631

Telephone 2155411333
Fax 2155411311
Associated Practice Facility / Clinic
🏢 Personal Care Pediatrics, Llc Facility NPI 1912308412

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Pennsburg, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Pennsburg, PA (3505 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License PA MD070311L

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Kaitlin Borelli , CPNP

Nurse Practitioner - Pediatrics

NPI 1386099737

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 01, 2017

Record deactivated on February 01, 2017

NPI Profile Active December 13, 2012

NPI status registered as active in NPPES database

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Updated Practice Location December 13, 2012

Registered at 925 MAIN ST, SUITE 100, PENNSBURG, PA 180731631 (Tel: 2155411333)

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Updated Business Mailing Address December 13, 2012

Registered at 925 MAIN ST, SUITE 100, PENNSBURG, PA 180731631 (Tel: 2155411333)

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Provider Name / Credentials Updated December 13, 2012

Recorded as DAVID KENNEDY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2012

Pediatrics (License #MD070311L in PA)

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Initial NPI Registration & Enumeration August 15, 2005

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: 1104828631
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2005
Last Update: December 13, 2012
Deactivation Date: February 01, 2017

Mailing Address

925 Main St, Suite 100

Pennsburg, PA 180731631

Phone: 2155411333

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.