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Timothy J Kennedy, MD

Urology Physician in Green Bay, WI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417985631

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Registry record

Entity type Individual (Type 1)
Name Timothy J Kennedy
Credential MD
Sex Male
Practice address 2845 Greenbrier Rd Ste 240, Green Bay, WI, 54311
Phone (920) 288-8280
Fax (920) 288-8285
Enumeration date Jun 28, 2006
Last updated in NPPES Jun 1, 2021

Taxonomy & licenses

208800000X Urology Physician Allopathic & Osteopathic Physicians · License 29987 (WI) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
3402100592 Other MI BCBS
104386126 Medicaid MI -
31501900 Medicaid WI -
340015995 Other WI RAILROAD
104386153 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1417985631 active?
Yes, as of the latest NPPES snapshot, NPI 1417985631 is active (record last updated 2021-06-01).
How do I verify Timothy Kennedy's NPI record?
Cross-check NPI 1417985631 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-06-01.