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
Phone: (704) 384-1166
Fax: (704) 384-1181
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598855710 | NPPES |
| North Carolina | MEDICAID | 5918767 | |
| North Carolina | MEDICAID | 289208 |
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