Kennedy, David Allan

Kennedy, David Allan is an individual health care provider with primary practice located at 125 E Southern Ave , Muskegon MI 49442-5041. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kennedy, David Allan can be contacted via phone (231) 724-3699.

Contact Information

Primary practice address
125 E Southern Ave Muskegon MI 49442-5041
Phone: (231) 724-3699
Fax: (231) 724-3659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301007108 Michigan

Profile Details

NPI number 1629297668
LBN Legal business name Kennedy, David Allan
Credentials LLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Jul 8th, 2007 - about 18 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 1629297668 NPPES
Michigan Other DK007108 BCBS PIN

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