| Doctor Name: | DR. MICHAEL W KENNEDY |
| NPI Number: | 1992047427 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 1023457A |
| Business Practice Address: | 6686 Eagle Crossing Blvd Brownsburg, IN - 461127420 |
| Business Phone Number: | 3177500553 |
| Business Fax Number: | |
| Mailing Address: | 6686 Eagle Crossing Blvd, BROWNSBURG |
| State: | IN |
| Postal Code: | 461127420 |
| Phone Number: | 3177500553 |
| Fax Number: | |
| NPI Enumeration Date: | 03/22/2013 |
| NPI Last Update Date: | 03/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 1023457A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |