Kennard, Jennifer Michalec

Kennard, Jennifer Michalec is an individual health care provider with primary practice located at 11840 Southmore Dr Suite 200, Charlotte NC 28277-4466. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Kennard, Jennifer Michalec can be contacted via phone (704) 384-1166.

Contact Information

Primary practice address
11840 Southmore Dr Suite 200 Charlotte NC 28277-4466
Fax: (704) 384-1181
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 2011-00073 North Carolina
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 28920 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2011-00073 North Carolina

Profile Details

NPI number 1598855710
LBN Legal business name Kennard, Jennifer Michalec
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Oct 25th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598855710 NPPES
North Carolina MEDICAID 5918767
North Carolina MEDICAID 289208

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