Milton Kennedy
Individual provider Active NPI Homemaker · Detroit, MI
NPI 1255845152 · NPPES record last updated Nov 30, 2017
Key facts
- NPI
- 1255845152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 12060 Indiana St
Detroit, MI 48204-1084 - Phone
- (313) 736-3233
- NPI assigned
- Nov 30, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K & K Assisted Living #2 LLC | Past |
Accepting new patients | |
| K & K Assisted Living, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
12060 Indiana St
Detroit, MI 48204-1084
Mailing address
16100 Sunderland Rd
Detroit, MI 48219-4049
Phone (313) 693-9300
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.