Kennedy, Michael Patrick

Kennedy, Michael Patrick is an individual health care provider with primary practice located at 1650 S 41St St , Manitowoc WI 54220-7316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kennedy, Michael Patrick can be contacted via phone (920) 320-5251.

Contact Information

Primary practice address
1650 S 41St St Manitowoc WI 54220-7316
Phone: (920) 320-5251
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD24078 Oregon

Profile Details

NPI number 1104834654
LBN Legal business name Kennedy, Michael Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jan 10th, 2013 - about 13 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 1104834654 NPPES
Oregon MEDICAID 181882

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