Individual provider · Type 1 NPI
Michael Dee Kennedy, ARNP
Primary Care Nurse Practitioner · Bonifay, FL
NPI number
1235386004
Active
Practice location
3120 Southride Lane
Bonifay, FL 32425
Fax (850) 547-4441
Mailing address
1360 Brickyard Rd
Chipley, FL 32428-6303
Other practice locations
- 2910 Hospital Dr Ste A, Bonifay, FL 32425-4268 · (850) 547-8118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | ARNP9206905 (FL) |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1235386004
Michael Dee Kennedy, ARNP's National Provider Identifier is 1235386004, issued on Aug 25, 2008. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Bonifay, FL. The record was last updated on Aug 14, 2024.