{"npi":"1992733224","type":"NPI-1","status":"active","name":{"display":"Dr. Damon Kennedy DO","other":[],"first":"DAMON","last":"KENNEDY","middle":"MARK","credential":"DO"},"specialty":{"primary_taxonomy":"208G00000X","primary_taxonomy_description":"Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician","slug":"thoracic-surgery-cardiothoracic-vascular-surgery-physician","schema_org_specialty":null,"all":[{"code":"2080P0202X","description":"Pediatric Cardiology Physician","primary":false,"state":"CO","license":"47892"},{"code":"208600000X","description":"Surgery","primary":false,"state":"CO","license":"DR.0047892"},{"code":"2086S0120X","description":"Pediatric Surgery Physician","primary":false,"state":"CO","license":"47892"},{"code":"208G00000X","description":"Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician","primary":false,"state":"CO","license":"DR.0047892"},{"code":"208G00000X","description":"Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician","primary":false,"state":"WY","license":"10460A"},{"code":"208G00000X","description":"Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician","primary":false,"state":"TX","license":"L2368"},{"code":"208G00000X","description":"Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician","primary":true,"state":"AR","license":"E-18514"}]},"addresses":[{"purpose":"LOCATION","street_1":"4802 E JOHNSON AVE","city":"JONESBORO","state":"AR","postal_code":"724058413","country_code":"US","phone":"8709368000","fax":"8709343628"},{"purpose":"MAILING","street_1":"PO BOX 1960","city":"JONESBORO","state":"AR","postal_code":"724031960","country_code":"US","phone":"8709368000","fax":"8709343628"}],"license":{"state":"AR","number":"E-18514"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"68856750","state":"CO","issuer":null},{"type_code":"05","label":"Medicaid","value":"10025839700","state":"NE","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20121023000736","type_code":"14-33","type_desc":"PRACTITIONER - THORACIC SURGERY","state":"CO","pac_id":"9739150608"},{"enrlmt_id":"I20160916001377","type_code":"14-33","type_desc":"PRACTITIONER - THORACIC SURGERY","state":"WY","pac_id":"9739150608"},{"enrlmt_id":"I20250127000203","type_code":"14-33","type_desc":"PRACTITIONER - THORACIC SURGERY","state":"AR","pac_id":"9739150608"}]},"enumeration_date":"2006-06-28","last_updated":"2025-01-22","_meta":{"source":"NPPES","snapshot_date":"2025-01-22","doc_url":"https://findmynpi.com/api"}}