Individual
DR. MICHELE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
621 KELLY RD, CUMBERLAND, MD 21502-2878
(301) 722-3270
Mailing address
14312 OLD LAKE DR SW, CUMBERLAND, MD 21502-5877
(301) 697-3535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0065454
MD
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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