Individual
MISS LUCIA A KEMENNU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27555 FARMINGTON RD, SUITE 120, FARMINGTON HILLS, MI 48334-3376
(248) 477-5608
(248) 427-0010
Mailing address
27555 FARMINGTON RD, SUITE 120, FARMINGTON HILLS, MI 48334-3376
(248) 477-5608
(248) 427-0010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301051164
MI
208000000X
Pediatrics Physician
4301051164
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3053204
—
MI
01
—
P00857637
RAILROAD MEDICARE
MI
Enumeration date
08/03/2006
Last updated
06/02/2016
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