Physician Compare National (NPI:1831225838)

HEALTHCARE PROVIDER: KEVIN MEERS KENNEDY MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1831225838
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799950846
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20111219000711
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KENNEDY
	Individual professional last name
Provider First Name	KEVIN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	ANESTHESIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	LIMESTONE ANESTHESIA ASSOCIATES PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9739102393
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	5
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	700 W MARKET ST
	Group Practice or individual's line 1 address
City	ATHENS
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	356112457
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2562339292
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	010130
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST VINCENT'S ST CLAIR
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	010079
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ATHENS LIMESTONE HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	011305
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST VINCENTS BLOUNT
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	010173
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ST VINCENT'S CHILTON
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y