person
Mr. Michael Dee Kennedy, ARNP
Primary Care Nurse Practitioner in Bonifay, Florida
NPI 1235386004

Michael Dee Kennedy is a Primary Care Nurse Practitioner based in Chipley, FL and is specialized in Primary Care. Michael Dee Kennedy practices in Bonifay, FL and has the professional credentials of ARNP. The NPI Number for Michael Dee Kennedy is 1235386004 and holds a License No. ARNP9206905 (Florida).

The current practice location address for Michael Dee Kennedy is 3120 Southride Lane, Bonifay, FL and can be reached out via phone at 850-547-4440 and via fax at 850-547-4441.

Location: 3120 Southride Lane, Bonifay, FL, 32428-6303
person
Provider Profile Details
NPI Number
1235386004
Provider Name
Michael Dee Kennedy
Credential
ARNP
Provider Entity Type
Individual
Gender
Male
Address
3120 Southride Lane, Bonifay, FL, 32428-6303
Phone Number
850-547-4440
Fax Number
850-547-4441
Provider Enumeration Date
08/25/2008
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ARNP9206905 01 FL FL LICENSE
000636200 05 FL
Y129U 01 BCBS
institution
Provider Business Practice Location Address Details
Address
3120 Southride Lane
City
State
Zip
32425
Phone Number
850-547-4440
Fax Number
850-547-4441
person
Provider Business Mailing Address Details
Address
3120 Southride Lane
City
State
Zip
32425
Phone Number
850-547-4440
Fax Number
850-547-4441
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
ARNP9206905 (Florida)
Definition
Definition to come...
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