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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THAISE KENNEDY

Active Sole Proprietor

THAISE KENNEDY is a Licensed Vocational Nurse healthcare provider located in CLINTON TOWNSHIP, Michigan. NPI 1982580957 is currently active in the NPPES registry. Verify at CMS.

Licensed Vocational Nurse · CLINTON TOWNSHIP, MI

Registration Details

NPI Number
1982580957
Provider Type
Individual
Gender
Female
NPI Issued
Aug 14, 2025 (1.0313247588451 yrs)
Last Updated
Aug 14, 2025
License
4703123257 (MI)
Sole Proprietor
Yes

Practice Information

Address
42590 STEPNITZ DR
CLINTON TOWNSHIP, MI, 480363161
Browse MI providers · Browse ZIP 48036
Phone
5869541838
Primary Specialty
Licensed Vocational Nurse
164X00000X
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.