Individual
ROSEMARIE KENNEDY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2420 OWEN RD, FENTON, MI 48430-3417
(810) 496-2500
(810) 629-0415
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301059498
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0995963
HEALTH PLUS OF MI
MI
01
—
1009249
MCLAREN HEALTH PLAN
MI
01
—
3502510121
BLUE CROSS BLUE SHIELD
MI
05
—
4519017
—
MI
01
—
4941624003
CIGNA
MI
01
—
5072036
AETNA
MA
01
—
C5452
MCARE
MI
01
—
H91967
HEALTH NET FEDERAL
MI
01
—
P00076880/CD3612
METRAHEALTH
MI
Enumeration date
10/27/2005
Last updated
07/08/2007
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