Individual
MICHAEL GILBERT KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7705 POPLAR AVE STE 310, GERMANTOWN, TN 38138-3930
(901) 516-6300
(901) 516-6350
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
73074
TN
208600000X
Surgery Physician
85019
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2014
Last updated
05/02/2025
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