| Doctor Name: | EMILEE KENNEDY |
| NPI Number: | 1255665220 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 4704231427 |
| Business Practice Address: | 8881 M 119 Harbor Springs, MI - 497409586 |
| Business Phone Number: | 2313475400 |
| Business Fax Number: | |
| Mailing Address: | 8881 M 119, HARBOR SPRINGS |
| State: | MI |
| Postal Code: | 497409586 |
| Phone Number: | 2313475400 |
| Fax Number: | |
| NPI Enumeration Date: | 09/23/2009 |
| NPI Last Update Date: | 03/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 4704231427 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |