Individual
MR. MICHAEL DEE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP9206905
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000636200
—
FL
01
—
ARNP9206905
FL LICENSE
FL
01
—
Y129U
BCBS
—
Enumeration date
08/25/2008
Last updated
08/14/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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