Tracy, Michael Kennedy

Tracy, Michael Kennedy is an individual health care provider with primary practice located at 6183 Paseo Del Norte Ste 290 , Carlsbad CA 92011-1151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Tracy, Michael Kennedy can be contacted via phone (760) 603-9910.

Contact Information

Primary practice address
6183 Paseo Del Norte Ste 290 Carlsbad CA 92011-1151
Phone: (760) 603-9910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C54009 California

Profile Details

NPI number 1124229380
LBN Legal business name Tracy, Michael Kennedy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Sep 25th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124229380 NPPES
Michigan MEDICAID 1124229380
Michigan MEDICAID 9310794
Michigan MEDICAID 9310791
Michigan MEDICAID 9310793

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