Kennedy Community Development Ministries

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

KENNEDY COMMUNITY DEVELOPMENT MINISTRIES

Practice address

1504 Cadillac Blvd
Detroit, MI 48214-3100

Phone

(313) 231-3605

Fax

(313) 933-3603

NPI assigned

Jan 21, 2010

Organization subpart

No

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

Authorized official

Name

Milton Lewis Kennedy

Title

Director

Phone

(313) 231-3605

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1649501263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 CADILLAC BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143100",
            "telephone_number": "313-231-3605",
            "fax_number": "313-933-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 CADILLAC BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143100",
            "telephone_number": "313-231-3605",
            "fax_number": "313-933-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY COMMUNITY DEVELOPMENT MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "313-231-3605"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vertongie R Kendrix-Bailey
• Barbara Kendzierski
• Ryan Joseph Kenerson, MD
• Justin David Kennard, L.C.S.W.
• Natalie Marie Kennaw, NP
• Brian Kennedy
• Charlotte M Kennedy, LMSW
• Christopher James Kennedy, DPM
• Christopher R Kennedy, M.D.
• Denise Audrey Kennedy

• Voluntary or Charitable Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Voluntary or Charitable Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.