Kelly Kennedy, D.D.S.
NPI 1568673366 · Oral & Maxillofacial Surgery (D.M.D.) · Columbus, OH
Enrolled with Medicare as Practitioner - Maxillofacial Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Kennedy, D.D.S. is a Oral & Maxillofacial Surgery (D.M.D.) provider in Columbus, OH (NPI 1568673366).
Provider details
- NPI number
- 1568673366
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 30-022717 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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.
Practice location
Mailing address
Additional practice locations (1)
- 700 Childrens DrColumbus, OH 43205-2639Phone: (614) 722-5651Fax: (614) 355-4497
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2019-12-19
- Certified
- 2019-12-19
Frequently asked questions
- What is Kelly Kennedy's NPI number?
- Kelly Kennedy's National Provider Identifier (NPI) is 1568673366, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Kennedy's specialty?
- Kelly Kennedy is listed in the NPPES registry with a primary specialty of Oral & Maxillofacial Surgery (D.M.D.) (Allopathic & Osteopathic Physicians).
- Where is Kelly Kennedy located?
- Kelly Kennedy's practice location on file with NPPES is 305 W 12th Ave, Columbus, OH 43210-1267.
- What is Kelly Kennedy's phone number?
- The practice phone number listed in the NPPES registry for Kelly Kennedy is (614) 292-5574.
- Does Kelly Kennedy accept Medicare?
- Kelly Kennedy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Kennedy's NPI active?
- Yes — Kelly Kennedy's NPI (1568673366) is active in the NPPES registry as of the last update on 2019-12-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.