Individual
DR. CHRISTOPHER R KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 ST ANTOINE ST, SUITE 3 R, DETROIT, MI 48201-2153
(313) 745-3330
Mailing address
4201 ST ANTOINE ST, SUITE 3 R, DETROIT, MI 48201-2153
(313) 745-3330
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301076517
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301076517
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104527378
—
MI
05
—
104527387
—
MI
05
—
104592910
—
MI
01
—
CK076517
BC/BS OF MI
MI
Enumeration date
03/28/2006
Last updated
07/01/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us