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COLLEEN KENNEDY DO PC NPI 1295933000


NPI Information

NPI: 1295933000
Provider Name: COLLEEN KENNEDY DO PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
75 BARCLAY CIRCLE
SUITE 225
ROCHESTER HILLS, MI
ZIP 48307
Phone: (248) 299-1892
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COLLEEN KENNEDY DO PC is a family medicine in Rochester Hills, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COLLEEN KENNEDY DO PC NPI is 1295933000. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

75 BARCLAY CIRCLE
SUITE 225
ROCHESTER HILLS, MI
ZIP 48307-572
Phone: (248) 299-1892
Fax: (248) 299-1396

The provider's authorized official is Joanne S Goodrich .
The authorized official title is Billing Supervisor and has the following contact phone number (248) 299-1892.

The enumeration date for this NPI number is 7/3/2007 and was last updated on 12/16/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine5101012334MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G58126MEDICARE UPINMICHIGAN
20N22720MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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