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COLLEEN M KENNEDY DO PC NPI 1497941850


NPI Information

NPI: 1497941850
Provider Name: COLLEEN M KENNEDY DO PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
305 BARCLAY CIR
SUITE 1000
ROCHESTER HILLS, MI
ZIP 48307
Phone: (248) 299-1892
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COLLEEN M 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 M KENNEDY DO PC NPI is 1497941850. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

305 BARCLAY CIR
SUITE 1000
ROCHESTER HILLS, MI
ZIP 48307-572
Phone: (248) 299-1892
Fax: (248) 853-2809

The provider's authorized official is Colleen M Kennedy .
The authorized official title is Physician and has the following contact phone number (248) 299-1892.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 9/19/2007.


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
1P10800001MEDICARE PINMICHIGAN
20P10800OTHERMICHIGANGROUP/ORGANIZATION

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.