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Jacquelyn Kennedy
NPI 1427405976 · on the registry since 2016 · sole proprietor
Practice
- Address
- 16811 Lauder St
Detroit, MI 48235 - Phone
- (313) 273-2093
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 171M00000X
172A00000X - Sex
- Female
- Record last updated
- 2016-05-14
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