Active NPIIndividual providerSole proprietor

Mr. Leighton Kennedy, PMHNP, BC

Nurse Practitioner, Psych/Mental Health in Laurel, Maryland

NPI Number1649573346
Practice location
8101 Sandy Spring RD Ste 250, Laurel, MD 20707-3527
Fax
202-478-2919
Last updated
February 20, 2023

Leighton Kennedy is a Nurse Practitioner, Psych/Mental Health based in Laurel, MD. Leighton Kennedy practices in Laurel, MD and has the professional credentials of PMHNP, BC. The NPI Number for Leighton Kennedy is 1649573346 and holds a License No. RN215628 (MA). The current practice location address for Leighton Kennedy is 8101 Sandy Spring RD Ste 250, Laurel, MD 20707-3527 and can be reached out via phone at 202-355-8587 and via fax at 202-478-2919.

Provider Profile Details

NPI Number
1649573346
Provider Name
Leighton Kennedy
Credential
PMHNP, BC
Provider Entity Type
Individual
Gender
Male
Address
8101 Sandy Spring RD Ste 250, Laurel, MD 20707-3527
Phone Number
202-355-8587
Fax Number
202-478-2919
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
December 19, 2010
Last Update Date
February 20, 2023
Certification Date
February 20, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
8101 Sandy Spring RD Ste 250
Laurel, MD 20707-3527
City
Laurel
Zip
20707-3527
Phone Number
202-355-8587
Fax Number
202-478-2919
Laurel, MD 20707Get directions →

Provider Business Mailing Address Details

Address
Po Box 212
Simpsonville, MD 21150-0212
City
Simpsonville
State
MD
Zip
21150-0212
Phone Number
202-355-8587
Fax Number
202-478-2919

License Information

License Number (1)
RN215628
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (2)
0024183634
License State (2)
VA
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (3)
5773
License State (3)
MN
Taxonomy (3)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (4)
R203481
License State (4)
MD
Taxonomy (4)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Psych/Mental Health providers near Laurel, MD

View all Nurse Practitioner, Psych/Mental Health providers in Laurel →

Frequently Asked Questions

What is the NPI number of Mr. Leighton Kennedy, PMHNP, BC?

The NPI number of Mr. Leighton Kennedy, PMHNP, BC is 1649573346. It was assigned on December 19, 2010 and is currently active in the NPPES registry.

What is the specialty of Mr. Leighton Kennedy, PMHNP, BC?

Mr. Leighton Kennedy, PMHNP, BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN215628.

Where does Mr. Leighton Kennedy, PMHNP, BC practice?

The practice location is 8101 Sandy Spring RD Ste 250, Laurel, MD 20707-3527. The office can be reached at 202-355-8587 (phone) or 202-478-2919 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649573346 directly on the NPPES registry website.

Browse related providers