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Mr. Brian Lee Kennedy, PA
Medical Physician Assistant in Saginaw, Michigan
NPI 1295820264

Brian Lee Kennedy is a Medical Physician Assistant based in Saginaw, MI and is specialized in Medical. Brian Lee Kennedy practices in Saginaw, MI and has the professional credentials of PA. The NPI Number for Brian Lee Kennedy is 1295820264 and holds a License No. 5601003698 (Michigan).

The current practice location address for Brian Lee Kennedy is 4848 Mcleod Dr E, Saginaw, MI and can be reached out via phone at 989-793-6200 and via fax at 989-793-9997.

Location: 4848 Mcleod Dr E, Saginaw, MI, 48604-2839
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295820264
Provider Name
Brian Lee Kennedy
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
4848 Mcleod Dr E, Saginaw, MI, 48604-2839
Phone Number
989-793-6200
Fax Number
989-793-9997
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0G36045 01 MI MEDICARE NUMBER
institution
Provider Business Practice Location Address Details
Address
4848 Mcleod Dr E
City
Saginaw
State
Michigan
Zip
48604-2839
Phone Number
989-793-6200
Fax Number
989-793-9997
person
Provider Business Mailing Address Details
Address
4848 Mcleod Dr E
City
Saginaw
State
Michigan
Zip
48604-2839
Phone Number
989-793-6200
Fax Number
989-793-9997
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
5601003698 (Michigan)
Definition
Definition to come...
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