Kennedy, Michelle

Kennedy, Michelle is an individual health care provider with primary practice located at 1301 S Koke Mill Rd , Springfield IL 62711-9252. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, Technologists, Technicians & Other Technical Service Providers / Surgical Assistant. Technologists, Technicians & Other Technical Service Providers / Surgical Assistant is her primary health care specialty. Kennedy, Michelle can be contacted via phone (217) 547-9100.

Contact Information

Primary practice address
1301 S Koke Mill Rd Springfield IL 62711-9252
Phone: (217) 547-9100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X

Profile Details

NPI number 1104065713
LBN Legal business name Kennedy, Michelle
Credentials RSA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2009
Last updated Apr 25th, 2022 - about 2 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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