DR. BARBARA JEAN KENNISON PH.D NPI 1407976079

NPI Information

  • NPI: 1407976079
  • Provider Name: DR. BARBARA JEAN KENNISON, PH.D
  • Classification: Registered Nurse - 163WP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 697 HANNAH AVE
    TRAVERSE CITY, MI
    ZIP 49686
  • Phone: (231) 947-5103

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NPI Details

DR. Barbara Jean Kennison, PH.D is a psychiatric/mental health registered nurse in Traverse City, MI. DR. Barbara Jean Kennison, PH.D NPI is 1407976079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

697 HANNAH AVE
TRAVERSE CITY, MI
ZIP 49686-399
Phone: (231) 947-5103
Fax: (231) 929-1038

The enumeration date for this NPI number is 3/29/2007 and was last updated on 1/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental Health4704091608MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10M86780MEDICARE ID-TYPE UNSPECIFIEDMICHIGANAPRN-BC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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