Individual
MARLENE MARIE KENNERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6100 N HAGGERTY RD, CANTON, MI 48187-3683
(734) 981-3200
Mailing address
6100 N HAGGERTY RD, CANTON, MI 48187-3683
(734) 454-8001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301070554
MI
Other
Enumeration date
03/09/2006
Last updated
01/27/2021
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