Individual
ALLAN LINORD KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-7245
(231) 876-7625
Mailing address
PO BOX 58, CADILLAC, MI 49601-0058
(866) 898-7139
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101010806
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114150481
—
MI
05
—
114400109
—
MI
05
—
114951858
—
MI
01
—
AK010806
BCBS
—
Enumeration date
05/03/2006
Last updated
05/20/2008
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