DR. CHRISTOPHER R KENNEDY M.D. NPI 1982665303

NPI Information

NPI: 1982665303
Provider Name: DR. CHRISTOPHER R KENNEDY, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Address:
4201 ST ANTOINE ST
SUITE 3 R
DETROIT, MI
ZIP 48201
Phone: (313) 745-3330
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DR. Christopher R Kennedy, M.D. is an emergency medicine in Detroit, MI. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Christopher R Kennedy, M.D. NPI is 1982665303. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4201 ST ANTOINE ST
SUITE 3 R
DETROIT, MI
ZIP 48201-153
Phone: (313) 745-3330

The enumeration date for this NPI number is 3/28/2006 and was last updated on 7/1/2010.

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
1	207PE0004X	Emergency Medicine	Emergency Medical Services	4301076517	MICHIGAN	No
2	207P00000X	Emergency Medicine		4301076517	MICHIGAN	Yes

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
1	104527378	MEDICAID	MICHIGAN
2	CK076517	OTHER	MICHIGAN	BC/BS OF MI
3	104592910	MEDICAID	MICHIGAN
4	H26348325	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
5	104527387	MEDICAID	MICHIGAN
6	I00104	MEDICARE UPIN	MICHIGAN

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: 11/14/2023

NPI Synchronization or Removal

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