P Praxis·MD
● Active Type 1 · Individual

DR. Robert Michael Kennedy, M.D.

Psychiatry & Neurology·Pocatello, ID· NPI 1043219694 · Enumerated 2005 · 20 years on NPI
Kennedy is 1 of 5 psychiatry & neurology providers in Pocatello and 1 of 85 in Idaho.
NPI age
20 years
Enumerated 2005-07-16
Primary specialty
Psychiatry & Neurology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-01-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 85 active psychiatry & neurology providers in Idaho.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
30% of peers hold multiple states
Subspecialties
0
41% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-07Enumerated in NPPES
2005 2026

Where they practice

Practice location
777 Hospital Way, G15
Pocatello, ID 832015175
📞 2082392722fax 2082393759
Mailing address
777 Hospital Way, G15
Pocatello, ID 832015175
📞 2082392722fax 2082393759

Specialties

  • Psychiatry & Neurology Primary
    A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
    ID license #M4241 taxonomy 2084N0400X

Practice context

Part of a multi-provider practice. 144 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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