Kennedy, Rosemarie

Kennedy, Rosemarie is an individual health care provider with primary practice located at 2420 Owen Rd , Fenton MI 48430-3417. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kennedy, Rosemarie can be contacted via phone (810) 496-2500.

Contact Information

Primary practice address
2420 Owen Rd Fenton MI 48430-3417
Fax: (810) 629-0415
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301059498 Michigan

Profile Details

NPI number 1982694238
LBN Legal business name Kennedy, Rosemarie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jul 8th, 2007 - about 19 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 1982694238 NPPES
Michigan Other 3502510121 BLUE CROSS BLUE SHIELD
Michigan Other 1009249 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 4519017 BLUE CROSS BLUE SHIELD
Michigan Other 4941624003 BLUE CROSS BLUE SHIELD
Michigan Other H91967 BLUE CROSS BLUE SHIELD
Michigan Other 1009249 BLUE CROSS BLUE SHIELD
Michigan Other H91967 BLUE CROSS BLUE SHIELD
Michigan Other P00076880/CD3612 BLUE CROSS BLUE SHIELD
Michigan Other 0995963 BLUE CROSS BLUE SHIELD
Michigan Other 5072036 BLUE CROSS BLUE SHIELD
Michigan Other C5452 BLUE CROSS BLUE SHIELD

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