Individual provider · Type 1 NPI

Patrick Kennedy

Acute Care Nurse Practitioner · Warren, MI

NPI number 1720646375 Active

Practice location

11800 E 12 Mile Rd
Warren, MI 48093-3472

Mailing address

1 Ford Pl Ste 3A
Detroit, MI 48202-3450

Other practice locations

  • 15855 19 Mile Rd, Clinton Township, MI 48038-3504 · (586) 263-2320

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X4704301492 (MI)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1720646375

Patrick Kennedy's National Provider Identifier is 1720646375, issued on May 30, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Warren, MI. The record was last updated on Jul 27, 2026.