Kennedy, Tina M

Kennedy, Tina M is an individual health care provider with primary practice located at 2522 W Wackerly St Ste B , Midland MI 48640-6921. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Renal, which is considered as her primary health care specialty. Kennedy, Tina M can be contacted via phone (989) 839-7770.

Contact Information

Primary practice address
2522 W Wackerly St Ste B Midland MI 48640-6921
Phone: (989) 839-7770
Fax: (989) 839-7777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X

Profile Details

NPI number 1164689949
LBN Legal business name Kennedy, Tina M
Credentials M.B.A. R.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2008
Last updated May 20th, 2008 - about 16 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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