Individual
JOHN PETER KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 SCHAEFER RD STE 310, DEARBORN, MI 48126-3655
(947) 523-4680
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1863
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301073494
MI
207V00000X
Obstetrics & Gynecology Physician
MD428982
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016397670002
—
PA
Enumeration date
08/23/2005
Last updated
02/20/2026
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