Individual provider · Type 1 NPI

Thaise Kennedy

Licensed Vocational Nurse · Clinton Township, MI

NPI number 1982580957 Active

Practice location

42590 Stepnitz Dr
Clinton Township, MI 48036-3161

Call (586) 954-1838 Map

Mailing address

5241 Twin Oaks Dr
Sterling Heights, MI 48314-3159

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X4703123257 (MI)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

13 other providers at this address

About NPI 1982580957

Thaise Kennedy's National Provider Identifier is 1982580957, issued on Aug 14, 2025. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Clinton Township, MI. The record was last updated on Aug 14, 2025.