Provider Demographics
NPI:1386432607
Name:DUNN, KENNEDY FITZGERALD II (MD)
Entity type:Individual
Prefix:
First Name:KENNEDY
Middle Name:FITZGERALD
Last Name:DUNN
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5501 45TH AVE APT 119
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20781-1585
Mailing Address - Country:US
Mailing Address - Phone:678-226-3510
Mailing Address - Fax:
Practice Address - Street 1:4494 PALMER RD NORTH
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:301-295-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program