Individual provider · Type 1 NPI

Stephanie Ann Kennedy, APRN, CNP

Nurse Practitioner · Edgewood, KY

NPI number 1104495928 Active

Practice location

1 Medical Village Dr
Edgewood, KY 41017-3403

Mailing address

PO Box 638685
Cincinnati, OH 45263-8685

Other practice locations

  • 238 Barnes Rd, Williamstown, KY 41097-9482 · (859) 824-8240
  • 85 N Grand Ave, Fort Thomas, KY 41075-4027 · (513) 312-2247
  • 1500 James Simpson Jr Way, Covington, KY 41011-0801 · (859) 655-4353
  • 4900 Houston Rd, Florence, KY 41042-4824 · (859) 212-5441
  • 740 W Galbraith Rd, Cincinnati, OH 45231-6002 · (513) 383-5504
  • 600 Wilson Creek Rd, Lawrenceburg, IN 47025-2751 · (812) 532-2700

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X3017110 (KY)
Nurse Practitioner 363L00000X71012111A (IN)
Family Nurse Practitioner 363LF0000X0029132 (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104495928

Stephanie Ann Kennedy, APRN, CNP's National Provider Identifier is 1104495928, issued on Jun 24, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Edgewood, KY. The record was last updated on Apr 3, 2025.