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Export Provider Record NPI 1093098097
Pamela S. Kennedy, Md, P.a.
Organization Subpart: NO
Active
NPI Number1093098097
NPI TypeNPI-2 Organization
SpecialtyDermatology
Provider Details
NPI1093098097
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2011-09-26
Last Updated2011-10-11
Authorized OfficialPamela Kennedy
Dermatologist
Phone: 8506564555
Mailing Address1355 Thomaswood Drive
Tallahassee, FL 32308
United States
Phone: (850) 656-4555
📍 View Map
Primary Practice Address1355 Thomaswood Drive
Tallahassee, FL 32308
United States
Phone: (850) 656-4555
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)15007Medicare ID
MEDICAIDFL2807050-00
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207N00000X – DermatologyFLME 84319
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About NPI 1093098097

Pamela S. Kennedy, Md, P.a. is an organization registered in the CMS NPPES NPI Registry with NPI number 1093098097. The primary specialty listed is Dermatology. The organization is located in Tallahassee, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-09-26. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1093098097?

NPI 1093098097 belongs to Pamela S. Kennedy, Md, P.a., a Dermatology in Tallahassee, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1093098097 active?

The current status of NPI 1093098097 in the NPPES registry is Active. The record was last updated on 2011-10-11.

What specialty is NPI 1093098097?

NPI 1093098097 is classified under the taxonomy Dermatology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1093098097?

You can verify NPI 1093098097 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1093098097?

The primary practice address on file for NPI 1093098097 is 1355 Thomaswood Drive, Tallahassee, FL 32308. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1093098097 issued?

NPI 1093098097 was first issued (enumerated) on 2011-09-26. The NPPES record was last updated on 2011-10-11.

Practice Location Map

Pamela S. Kennedy, Md, P.a. is located at 1355 Thomaswood Drive, Tallahassee, FL. Use the map below to find directions or verify the practice location.

📍 1355 Thomaswood Drive, Tallahassee, FL 32308  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Pamela S. Kennedy, Md, P.a.. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1093098097. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
DermatologyME 84319FL
Data Verified from CMS NPPES Last synced: 2026-06-23 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162