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Individual

BRIAN KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
20501 FENTON ST, DETROIT, MI 48219-1071
(248) 252-8406
Mailing address
20501 FENTON ST, DETROIT, MI 48219-1071
(248) 252-8406

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
07/09/2025
Last updated
07/09/2025
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