Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICOLE A KENNEDY, MD
ActiveDR. NICOLE A KENNEDY, MD is a Vascular Surgery healthcare provider located in WEST BLOOMFIELD, Michigan. NPI 1679782395 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · WEST BLOOMFIELD, MI
Registration Details
- NPI Number
- 1679782395
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 21, 2007 (19.242920101743 yrs)
- Last Updated
- Apr 26, 2013
- Licenses
-
4301081948 (MI)4301081948 (MI)
Practice Information
- Address
-
6777 W MAPLE RDDEPARTMENT OF VASCULAR SURGERYWEST BLOOMFIELD, MI, 483223013Browse MI providers · Browse ZIP 48322
- Phone
- 2483253087
- Fax
- 2483250071
- Primary Specialty
-
Vascular Surgery
2086S0129X
- Additional Specialty
- Vascular Surgery
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.