Kennedy King, DO
NPI 1114667540 · Family Medicine Physician · South Charleston, WV
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kennedy King, DO is a Family Medicine Physician provider in South Charleston, WV (NPI 1114667540).
Provider details
- NPI number
- 1114667540
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 4737 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 22 | 11 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 22 | — |
| Losartan Potassium | 22 | — |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 18 | — |
| Lisinopril | 14 | — |
| Spironolactone | 13 | — |
Practice location
Mailing address
Additional practice locations (1)
- 3200 Maccorkle Ave Se Fl 5Charleston, WV 25304-1297Phone: (304) 388-4600Fax: (304) 388-4603
Registry dates
- Enumerated
- 2022-04-01
- Last updated
- 2025-08-13
- Certified
- 2025-08-13
Frequently asked questions
- What is Kennedy King's NPI number?
- Kennedy King's National Provider Identifier (NPI) is 1114667540, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kennedy King's specialty?
- Kennedy King is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kennedy King located?
- Kennedy King's practice location on file with NPPES is 506 Chestnut St, South Charleston, WV 25309-1204.
- What is Kennedy King's phone number?
- The practice phone number listed in the NPPES registry for Kennedy King is (304) 766-8558.
- Does Kennedy King accept Medicare?
- Kennedy King is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kennedy King's NPI active?
- Yes — Kennedy King's NPI (1114667540) is active in the NPPES registry as of the last update on 2025-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.