Kennedy, Christopher R

Kennedy, Christopher R is an individual health care provider with primary practice located at 4201 St Antoine St Suite 3 R, Detroit MI 48201-2153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Kennedy, Christopher R can be contacted via phone (313) 745-3330.

Contact Information

Primary practice address
4201 St Antoine St Suite 3 R Detroit MI 48201-2153
Phone: (313) 745-3330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301076517 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301076517 Michigan

Profile Details

NPI number 1982665303
LBN Legal business name Kennedy, Christopher R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 1st, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982665303 NPPES
Michigan MEDICAID 104527378
Michigan MEDICAID 104527387
Michigan Other CK076517
Michigan MEDICAID 104592910

Popular Providers