IndividualActive
Kenneth Kennedy
NPI 1417891219 · Peer Specialist · Corvallis, OR
Kenneth Kennedy is a Peer Specialist provider in Corvallis, OR (NPI 1417891219).
Provider details
- NPI number
- 1417891219
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(46/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
535 Sw 4th St
Corvallis, OR 97333-4429
Phone: (541) 971-3411
Street-level locationGet directions
Mailing address
535 Sw 4th St
Corvallis, OR 97333-4429
Registry dates
- Enumerated
- 2026-04-14
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Frequently asked questions
- What is Kenneth Kennedy's NPI number?
- Kenneth Kennedy's National Provider Identifier (NPI) is 1417891219, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Kennedy's specialty?
- Kenneth Kennedy is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Kenneth Kennedy located?
- Kenneth Kennedy's practice location on file with NPPES is 535 Sw 4th St, Corvallis, OR 97333-4429.
- What is Kenneth Kennedy's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Kennedy is (541) 971-3411.
- Is Kenneth Kennedy's NPI active?
- Yes — Kenneth Kennedy's NPI (1417891219) is active in the NPPES registry as of the last update on 2026-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.