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Individual

MR. MICHAEL D KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA C

Contact information

Practice address
86 THOMAS JOHNSON CT, FREDERICK, MD 21702-4348
(301) 694-8311
Mailing address
86 THOMAS JOHNSON CT, FREDERICK, MD 21702-4348
(301) 694-8311

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0002738
MD

Other

Enumeration date
09/27/2005
Last updated
06/18/2020
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