Tina M Kennedy is a Nutrition, Renal in Midland, Michigan. Tina M Kennedy practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Tina M Kennedy is 1164689949. The last update date is 2008-05-20.
Tina M Kennedy's current location address is 2522 W Wackerly St Ste B, Midland, Michigan. You can contact this provider via phone number 9898397770 and fax number 9898397777. The mailing address for Tina M Kennedy is 2522 W Wackerly St Ste B, Midland, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina M Kennedy |
|---|---|
| Address | 2522 W Wackerly St Ste B, Midland, Michigan |
| Phone Number | 9898397770 |
| Fax Number | 9898397777 |
| Sole Proprietor | N |
| Credentials | M.B.A. |
NPI Number Detail
| NPI Number | 1164689949 |
|---|---|
| Provider Enumeration Date | 2008-05-20 |
| Last Updated Date | 2008-05-20 |
Provider Mailing Address Detail
| Address | 2522 W Wackerly St Ste B |
|---|---|
| City | Midland |
| State | Michigan (MI) |
| Post Code | 486406921 |
| Phone Number | 9898397770 |
| Fax Number | 9898397777 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Renal |
|---|---|
| Taxonomy | 133Vn1005X |
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Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Tina M Kennedy by the Centers for Medicare & Medicaid Services?
The Tina M Kennedy has been issued the NPI (National Provider Identifier) 1164689949, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Tina M Kennedy's facilities are geographically located?
The facilities of Tina M Kennedy are physically situated at the following location: 2522 W Wackerly St Ste B, Midland, MI, 486406921.
What is Tina M Kennedy's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tina M Kennedy is Nutrition, Renal, and the corresponding taxonomy classification code for this specialized field is 133Vn1005X.
On what date did Tina M Kennedy receive its 1164689949 assignment from the Centers for Medicare & Medicaid Services?
The Tina M Kennedy was assigned its 1164689949 on 2008-05-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tina M Kennedy, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Tina M Kennedy, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-20.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY