Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAMANTHA FUGATE KENNEDY, D.O.
Active Sole ProprietorDR. SAMANTHA FUGATE KENNEDY, D.O. is a Psychiatric Neurology healthcare provider located in HASLETT, Michigan. NPI 1154760312 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Neurology · HASLETT, MI
Registration Details
- NPI Number
- 1154760312
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 21, 2013 (13.180341132514 yrs)
- Last Updated
- Feb 9, 2026
- License
-
5101020751 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1660 HASLETT RDHASLETT, MI, 488408469Browse MI providers · Browse ZIP 48840
- Phone
- 5173478420
- Fax
- 5173478420
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.