Kennedy, Brian Lee

Kennedy, Brian Lee is an individual health care provider with primary practice located at 4848 Mcleod Dr E , Saginaw MI 48604-2839. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Kennedy, Brian Lee can be contacted via phone (989) 793-6200.

Contact Information

Primary practice address
4848 Mcleod Dr E Saginaw MI 48604-2839
Phone: (989) 793-6200
Fax: (989) 793-9997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601003698 Michigan

Profile Details

NPI number 1295820264
LBN Legal business name Kennedy, Brian Lee
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jun 18th, 2010 - about 16 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 1295820264 NPPES
Michigan Other 0G36045 MEDICARE NUMBER

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