Kennedy, Michael D
Kennedy, Michael D is an individual health care provider with primary practice located at 86 Thomas Johnson Ct , Frederick MD 21702-4348. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Kennedy, Michael D can be contacted via phone (301) 694-8311.Contact Information
Primary practice address
86 Thomas Johnson Ct
Frederick MD 21702-4348
Phone: (301) 694-8311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | C0002738 | Maryland |
Profile Details
| NPI number | 1972599678 |
|---|---|
| LBN Legal business name | Kennedy, Michael D |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Jun 18th, 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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