Individual provider · Type 1 NPI

Katherine Marie Kennedy, PA-C

Physician Assistant · Grosse Pointe, MI

NPI number 1861156002 Active

Practice location

468 Cadieux Rd
Grosse Pointe, MI 48230-1507

Call (313) 473-1000 Map

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601010835 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1861156002

Katherine Marie Kennedy, PA-C's National Provider Identifier is 1861156002, issued on Oct 25, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grosse Pointe, MI. The record was last updated on Feb 26, 2026.