Provider Demographics
NPI:1417697137
Name:KENNEDY, LORRAINE HOYOS (MD)
Entity type:Individual
Prefix:DR
First Name:LORRAINE
Middle Name:HOYOS
Last Name:KENNEDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LORRAINE
Other - Middle Name:
Other - Last Name:HOYOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4630 S KIRKMAN RD STE 35434419
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32811-2833
Mailing Address - Country:US
Mailing Address - Phone:407-900-6042
Mailing Address - Fax:
Practice Address - Street 1:4630 S KIRKMAN RD STE 35434419
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32811-2833
Practice Address - Country:US
Practice Address - Phone:407-900-6042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL164931207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine