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1972599678
MICHAEL D KENNEDY
FREDERICK, MD
NPI
1972599678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: MD C0002738)
Enumeration Date
2005-09-27
Last Update Date
2020-06-18
Business Address
Mr. MICHAEL D KENNEDY PA C
86 THOMAS JOHNSON CT
FREDERICK, MD 21702-4348
Phone number: 301-694-8311
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Mailing Address
Mr. MICHAEL D KENNEDY PA C
86 THOMAS JOHNSON CT
FREDERICK, MD 21702-4348
Phone number: 301-694-8311
Copy
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