Individual
ARIANE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8244 METRO PKWY STE C, STERLING HEIGHTS, MI 48312-2778
(586) 795-4060
Mailing address
53423 JACLYN DR, SHELBY TOWNSHIP, MI 48315-1821
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704266121
MI
363LG0600X
Gerontology Nurse Practitioner
4704266121
MI
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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