Search › Michigan › 363A00000X
Johannah Kennedy, PA-C
NPI 1235935123 · on the registry since 2025
Practice
- Address
- 29201 Telegraph Rd Ste 500
Southfield, MI 48034 - Phone
- (248) 569-5985
- Organisation at this address
- Mmg 1pc
Affinity Lab
Miycrnas Llc
Napswell Llc
Ir Mi Mso PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 96
Additional practice sites
- 26850 Providence Pkwy Ste 165, Novi, MI
- 26110 Harper Ave, Saint Clair Shores, MI
- 27483 Dequindre Rd Ste 201, Madison Heights, MI
- 31450 7 Mile Rd, Livonia, MI
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-02-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan