Individual
MICHAEL S. KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 W 200 N, SUITE 204, LINDON, UT 84042-5009
(801) 796-1333
(801) 796-0625
Mailing address
275 W 200 N, SUITE 204, LINDON, UT 84042-5009
(801) 796-1333
(801) 796-0625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4994501-1205
UT
Other
Enumeration date
10/13/2006
Last updated
02/06/2015
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