Brian Kennedy, NAVIGATOR
Case Manager/Care Coordinator in Philadelphia, PA. Individual provider (NPI-1).
NPI number1609590132
StatusActive
Last updated in NPPESSep 28, 2022
Details
- NPI
- 1609590132
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brian Kennedy
- Credential
- NAVIGATOR
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2022
- Certification date
- Sep 28, 2022
- Last updated
- Sep 28, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | 3286250-1999 | PA | Yes |
Practice location
1235 Spring Garden StPhiladelphia, PA 19123-3206
Phone 215-769-3561
Mailing address
1235 Spring Garden StPhiladelphia, PA 19123-3206
Phone 215-769-3561
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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