Kennedy, Nicole A

Kennedy, Nicole A is an individual health care provider with primary practice located at 6777 W Maple Rd Department Of Vascular Surgery, West Bloomfield MI 48322-3013. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Kennedy, Nicole A can be contacted via phone (248) 325-3087.

Contact Information

Primary practice address
6777 W Maple Rd Department Of Vascular Surgery West Bloomfield MI 48322-3013
Phone: (248) 325-3087
Fax: (248) 325-0071
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301081948 Michigan
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301081948 Michigan

Profile Details

NPI number 1679782395
LBN Legal business name Kennedy, Nicole A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Apr 26th, 2013 - about 11 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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