Kennedy, Roberta Lee

Kennedy, Roberta Lee is an individual health care provider with primary practice located at 2700 Robert T. Longway Blvd Suite A, Flint MI 48503. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Kennedy, Roberta Lee can be contacted via phone (810) 235-2599.

Contact Information

Primary practice address
2700 Robert T. Longway Blvd Suite A Flint MI 48503
Phone: (810) 235-2599
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 4704140071 Michigan

Profile Details

NPI number 1558513226
LBN Legal business name Kennedy, Roberta Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2008
Last updated Oct 14th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558513226 NPPES
Michigan Other OB514740 BLUE CROSS GROUP

Popular Providers