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General NPI Number Information
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NPI Number | 1780927046
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Entity Type | Individual
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Provider Name | JODIE LEIGH KENES MD
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Gender | Female
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Dates
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Enumeration Date | 04/04/2013
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 14555 LEVAN RD. SUITE 203
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City | LIVONIA
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State | MI
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Zip | 48154
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Country | US
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Telephone | 734-462-3233
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Fax | 734-853-1507
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Provider Business Mailing Address
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Address Line | 24 FRANK LLOYD WRIGHT DRIVE SUITE J2000
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City | ANN ARBOR
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State | MI
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Zip | 48105
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Country | US
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Telephone | 734-747-6766
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Fax | 734-222-3100
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301502704
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 4301502704
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 4301502704
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License Number State | MI
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