Individual provider · Type 1 NPI

Matthew Kennedy

Foot & Ankle Surgery Podiatrist · Phoenix, AZ

NPI number 1962077693 Active

Practice location

9321 W Thomas Rd Ste 205
Phoenix, AZ 85037-3392

Mailing address

18444 N 25th Ave Ste 310
Phoenix, AZ 85023-1266

Other practice locations

  • 19555 N 59th Ave, Glendale, AZ 85308-6813 · (623) 572-3215
  • 275 W Macarthur Blvd, Oakland, CA 94611-5641 · (510) 752-1000

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPOD-001139 (AZ)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1962077693

Matthew Kennedy's National Provider Identifier is 1962077693, issued on May 25, 2021. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 11, 2025.