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NPI Code Detail

MEDICARE: MR. ERIC ALAN KENNEDY PA-C

MEDICARE: MR. ERIC ALAN KENNEDY PA-C
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
1363A00000XPhysician Assistant5601002670MI

General Provider Information

NPI Number : 1841288701
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ERIC ALAN KENNEDY PA-C
Provider Business Mailing Address
First Line : 5500 ARMSTRONG RD
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49037-7314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5500 ARMSTRONG RD
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49037-7314
Country : US
Telephone Number : 269-271-8322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 08/11/2025

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