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Roberta Lee Kennedy
Gerontology Clinical Nurse Specialist in Flint, Michigan
NPI 1558513226

Roberta Lee Kennedy is a Gerontology Clinical Nurse Specialist based in Flint, MI and is specialized in Gerontology. Roberta Lee Kennedy practices in Flint, MI. The NPI Number for Roberta Lee Kennedy is 1558513226 and holds a License No. 4704140071 (Michigan).

The current practice location address for Roberta Lee Kennedy is 2700 Robert T. Longway Blvd, Flint, MI and can be reached out via phone at 810-235-2599.

Location: 2700 Robert T. Longway Blvd, Flint, MI, 48503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558513226
Provider Name
Roberta Lee Kennedy
Credential
Provider Entity Type
Individual
Gender
Female
Address
2700 Robert T. Longway Blvd, Flint, MI, 48503
Phone Number
810-235-2599
Fax Number
Provider Enumeration Date
10/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OB514740 01 MI BLUE CROSS GROUP
institution
Provider Business Practice Location Address Details
Address
2700 Robert T. Longway Blvd
City
Flint
State
Michigan
Zip
48503
Phone Number
810-235-2599
Fax Number
person
Provider Business Mailing Address Details
Address
2700 Robert T. Longway Blvd
City
Flint
State
Michigan
Zip
48503
Phone Number
810-235-2599
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Gerontology
Taxonomy
364SG0600X
License No.
4704140071 (Michigan)
Definition
Definition to come...
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