Individual
MR. SEAN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202
(800) 653-6568
Mailing address
53423 JACLYN DR, SHELBY TWP, MI 48315-1821
(586) 419-0520
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704257486
MI
Other
Enumeration date
04/26/2012
Last updated
09/18/2018
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