Individual
KRISTEN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 SIXTH ST STE 200, TRAVERSE CITY, MI 49684-2369
(231) 935-5800
Mailing address
1200 SIXTH ST STE 200, TRAVERSE CITY, MI 49684-2369
(231) 935-5800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704306531
MI
Other
Enumeration date
07/11/2019
Last updated
03/15/2021
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