Organization
COLLEEN M KENNEDY DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLEEN M KENNEDY D.O. (PHYSICIAN)
(248) 299-1892
Entity
Organization
Contact information
Practice address
305 BARCLAY CIR, SUITE 1000, ROCHESTER HILLS, MI 48307-4572
(248) 299-1892
(248) 853-2809
Mailing address
305 BARCLAY CIR, SUITE 1000, ROCHESTER HILLS, MI 48307-4572
(248) 299-1892
(248) 853-2809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101012334
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P10800
GROUP/ORGANIZATION
MI
Enumeration date
09/19/2007
Last updated
09/19/2007
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