Kennedy Family Medicine LLC
NPI 1487415170ActiveOrganization· Family Medicine· Auburn, IN
Family Medicine in Auburn, Indiana, registered in NPPES in January 2024. The authorized official on file is Crystal N. Kennedy, NP, Owner Operator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1487415170 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 19, 2024 |
| Last updated in NPPES | Jan 23, 2024 |
| Certified by provider | Jan 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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