DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TARA ANN KENNEDY FNP- BC

MEDICARE: TARA ANN KENNEDY FNP- BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner5014370NC
2363LF0000XFamily Nurse Practitioner5014370NC

General Provider Information

NPI Number : 1245424761
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA ANN KENNEDY FNP- BC
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10810 MALLARD CREEK RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-9786
Country : US
Telephone Number : 704-510-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2007
Last Update Date : 04/07/2026

Similar Medicare Providers

1922009141 — DR. CHARITY LYNN KARWOWSKI MD
Practice Location Address:
10810 MALLARD CREEK RD
CHARLOTTE, NC
28262-9786
Practice Phone: 704-510-8000
Practice Fax: 704-510-8006
1164412458 — KAROL DIANE DOWNING PA-C
Practice Location Address:
10810 MALLARD CREEK RD
CHARLOTTE, NC
28262-9786
Practice Phone: 704-510-8000
Practice Fax:
1376524975 — DONNA L HOPKINS PT
Practice Location Address:
10810 MALLARD CREEK RD
CHARLOTTE, NC
28262-9786
Practice Phone: 704-510-8011
Practice Fax: 704-510-8029
1538134689 — DR. MIRIAM ARMINDA CASTILLO-TOHER MD
Practice Location Address:
10810 MALLARD CREEK RD
CHARLOTTE, NC
28262-9786
Practice Phone: 704-510-8000
Practice Fax: 704-510-8006
1174586622 — DR. MARK M. SCHAEPER M.D.
Practice Location Address:
10810 MALLARD CREEK RD
CHARLOTTE, NC
28262-9786
Practice Phone: 704-510-8000
Practice Fax: 704-510-8006
1245293786 — CURTIS WILLIAM DESENA MD
Practice Location Address:
10810 MALLARD CREEK RD
CHARLOTTE, NC
28262-9786
Practice Phone: 704-510-8000
Practice Fax: 704-510-8006

Directions to “ TARA ANN KENNEDY FNP- BC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.