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Michelle S Kennedy, MD

Internal Medicine, Gastroenterology in Saint Paul, MN. Individual provider (NPI-1).

NPI number1023080751
StatusActive
Last updated in NPPESOct 5, 2007

Details

NPI
1023080751
Entity type
Individual (NPI-1)
Name
Michelle S Kennedy
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Feb 6, 2006
Last updated
Oct 5, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology40561MNYes

Practice location

2550 University Ave W
Suite 423 South
Saint Paul, MN 55114-1052

Phone 612-870-5557 · Fax 612-870-5857

Mailing address

Po Box 14909
Minneapolis, MN 55414-0909

Phone 612-870-5557 · Fax 612-870-5857

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