Individual
KENNEDY WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3285 122ND AVE, ALLEGAN, MI 49010-9511
(269) 251-3299
Mailing address
5200 CROYDEN AVE APT 2101, KALAMAZOO, MI 49009-3325
(815) 914-9792
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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