Colleen M Kennedy DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101012334 Issued in MI

Legal business name

COLLEEN M KENNEDY DO PC

Practice address

305 Barclay Cir
Suite 1000
Rochester Hills, MI 48307-4572

Phone

(248) 299-1892

Fax

(248) 853-2809

NPI assigned

Sep 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Colleen M Kennedy, D.O.NPI 1538140744

Title

Physician

Phone

(248) 299-1892

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colleen M Kennedy, D.O.

  • Family Medicine Physician
  • Rochester Hills, MI
  • NPI 1538140744

  Family Medicine

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1497941850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BARCLAY CIR",
            "address_2": "SUITE 1000",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074572",
            "telephone_number": "248-299-1892",
            "fax_number": "248-853-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BARCLAY CIR",
            "address_2": "SUITE 1000",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074572",
            "telephone_number": "248-299-1892",
            "fax_number": "248-853-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN M KENNEDY DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-299-1892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101012334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP/ORGANIZATION",
            "identifier": "0P10800",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Coccia
• Genesis Nayeth Codoni de Juan, MS, RDN, CSO, CDN
• Terese Colasuonno, LPC
• Cole Vision Corporation
• Colleen Kennedy DO PC
• Collins Counseling, LLC
• Alena Jonel Collins, LPC
• Charles George Colombo, M.D.
• Reyna Colombo, MA, PT
• Gwen Marie Colorito, MSW

• All providers in Rochester Hills, MI
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.