# KENNEDY MARZONIE GRAY & ASSOCIATES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154430718
- **Authorized official:** SHARENE NICOLE RUMOHR (BILLING AND MARKETING MANAGER)
- **Authorized official phone:** (734) 677-8700

## Contact information

- **Practice address:** 2365 S HURON PKWY, ANN ARBOR, MI 48104-5156
- **Practice address phone:** (734) 677-8700
- **Practice address fax:** (348) 394-1377
- **Mailing address:** 2365 S HURON PKWY, ANN ARBOR, MI 48104-5156
- **Mailing address phone:** (734) 677-8700
- **Mailing address fax:** (734) 839-4137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12814 | MI | — |
| 122300000X | Dentist | 12824 | MI | — |
| 122300000X | Dentist | 18447 | MI | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 08/01/2022