Kennedy, Michael Patrick
Kennedy, Michael Patrick is an individual health care provider with primary practice located at 1650 S 41St St , Manitowoc WI 54220-7316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kennedy, Michael Patrick can be contacted via phone (920) 320-5251.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD24078 | Oregon |
Profile Details
| NPI number | 1104834654 |
|---|---|
| LBN Legal business name | Kennedy, Michael Patrick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jan 10th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104834654 | NPPES |
| Oregon | MEDICAID | 181882 |
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