Individual
ADRIENNE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1100 E MICHIGAN AVE, GRAYLING, MI 49738-1312
(989) 348-5461
Mailing address
1100 E MICHIGAN AVE, GRAYLING, MI 49738-1312
(989) 348-5461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006524
MI
Other
Enumeration date
12/11/2012
Last updated
11/30/2020
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