Individual
ROBERTA LEE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 ROBERT T. LONGWAY BLVD, SUITE A, FLINT, MI 48503
(810) 235-2599
Mailing address
2700 ROBERT T. LONGWAY BLVD, SUITE A, FLINT, MI 48503
(810) 235-2599
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
4704140071
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OB514740
BLUE CROSS GROUP
MI
Enumeration date
10/14/2008
Last updated
10/14/2008
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