Kennedy, Colleen M

Kennedy, Colleen M is an individual health care provider with primary practice located at 75 Barclay Cir Suite 225, Rochester Hills MI 48307-5820. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kennedy, Colleen M can be contacted via phone (248) 299-1892.

Contact Information

Primary practice address
75 Barclay Cir Suite 225 Rochester Hills MI 48307-5820
Phone: (248) 299-1892
Fax: (248) 299-2396
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101012334 Michigan

Profile Details

NPI number 1538140744
LBN Legal business name Kennedy, Colleen M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Feb 24th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538140744 NPPES
Michigan Other 0N22720 MEDICARE TYPE UNSPECIFIED

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