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Contact Information

TINA M KENNEDY, M.B.A. R.D.
2522 W WACKERLY ST STE B
MIDLAND, MI48640-6921
 Phone: 989-839-7770
 Fax: 989-839-7777
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for TINA M KENNEDY · (Female)

NPI Number 1164689949
Status Active
Credentials M.B.A. R.D.
Entity Individual
Enumeration date 05/20/2008
Last updated 05/20/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers Not Available
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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