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Contact Information

MICHELLE L KENNEDY, MSW-CSW-QMHP
11 EAST 4TH STREET
LEMMON, SD57638-0447
 Phone: 605-374-3862
 Fax: 605-374-3864
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for MICHELLE L KENNEDY · (Female)

NPI # 1013073527
Status Active
Credentials MSW-CSW-QMHP
Entity Individual
Enumeration date 12/29/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 1948
  • SD Other 4994184 BCBS PROVIDER #
  • SD Other 0003226 BCBS THREE RIVERS GROUP #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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