Organization
COLLEEN KENNEDY DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANNE S GOODRICH (BILLING SUPERVISOR)
(248) 299-1892
Entity
Organization
Contact information
Practice address
75 BARCLAY CIRCLE, SUITE 225, ROCHESTER HILLS, MI 48307-4572
(248) 299-1892
(248) 299-1396
Mailing address
75 BARCLAY CIRCLE, SUITE 225, ROCHESTER HILLS, MI 48307-4572
(248) 299-1892
(248) 299-1396
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101012334
MI
Other
Enumeration date
07/03/2007
Last updated
12/16/2010
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