Kennedy, Brian James

Kennedy, Brian James is an individual health care provider with primary practice located at 5301 E Huron River Dr , Ypsilanti MI 48197-1051. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Kennedy, Brian James can be contacted via phone (734) 712-3325.

Contact Information

Primary practice address
5301 E Huron River Dr Ypsilanti MI 48197-1051
Phone: (734) 712-3325
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301405919 Michigan
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 4301405919 Michigan

Profile Details

NPI number 1750341459
LBN Legal business name Kennedy, Brian James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated May 16th, 2024 - about last year

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 1750341459 NPPES
Michigan MEDICAID 1944760
Michigan Other 700H161150

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