MEDICARE: KARA D KENNEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		MI

General Provider Information

NPI Number	:	1598600520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARA D KENNEY

Provider Business Mailing Address
First Line	:	3612 OTIS AVE
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48091-5503
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8855 AMERICAN ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48204-2816
Country	:	US
Telephone Number	:	313-740-6303
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

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Directions to “ KARA D KENNEY ” Practice Location

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