Kennedy, Lori L

Kennedy, Lori L is an individual health care provider with primary practice located at 601 John St Box 42, Kalamazoo MI 49007-5341. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Kennedy, Lori L can be contacted via phone (269) 341-8855.

Contact Information

Primary practice address
601 John St Box 42 Kalamazoo MI 49007-5341
Fax: (269) 341-8743
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4740178284 Michigan

Profile Details

NPI number 1346220787
LBN Legal business name Kennedy, Lori L
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Oct 16th, 2014 - about 7 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 1346220787 NPPES
Michigan MEDICAID 4462513

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