Kennedy, John Peter

Kennedy, John Peter is an individual health care provider with primary practice located at 4700 Schaefer Rd Ste 310 , Dearborn MI 48126-3655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Kennedy, John Peter can be contacted via phone (947) 523-4680.

Contact Information

Primary practice address
4700 Schaefer Rd Ste 310 Dearborn MI 48126-3655
Phone: (947) 523-4680
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD428982 Pennsylvania
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301073494 Michigan

Profile Details

NPI number 1740273010
LBN Legal business name Kennedy, John Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Apr 5th, 2023 - about last year

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 1740273010 NPPES
Pennsylvania MEDICAID 1016397670002

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