Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bruce S Kennedy MD PA

Organization Specialist · NPI 1841240678

Bruce S Kennedy MD PA provides Specialist services in Ormond Beach, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

411 Lakebridge Plaza Dr Ste B
Ormond Beach, FL 32174-5157
Phone: (386) 673-2547
Fax: (386) 673-6141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME0043975 (FL)

Record details

NPI number1841240678
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Kennedy — President · (386) 673-2547
NPI enumeratedMay 11, 2006
Last updated in NPPESAugust 22, 2020
Mailing address411 Lakebridge Plaza Dr, Suite B, Ormond Beach, FL 32174-5157

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