Jonathan Kennedy
Registered Nurse in Plymouth, MI. Individual provider (NPI-1).
NPI number1104633239
StatusActive
Last updated in NPPESDec 12, 2024
Details
- NPI
- 1104633239
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Kennedy
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2024
- Certification date
- Dec 12, 2024
- Last updated
- Dec 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 848306 | TX | Yes |
Practice location
45211 Helm StPlymouth, MI 48170-6023
Phone 734-525-9712
Mailing address
45211 Helm StPlymouth, MI 48170-6023
Phone 734-525-9712
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All 18 Registered Nurse providers in Plymouth · All 4,010 providers in Plymouth
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