Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nicole A Kennedy, MD

Individual provider Surgery Physician · NPI 1679782395

Dr. Nicole A Kennedy, MD is a Surgery Physician in West Bloomfield, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6777 W Maple Rd Dept OF Vascular Surgery
West Bloomfield, MI 48322-3013
Phone: (248) 325-3087
Fax: (248) 325-0071
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Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 4301081948 (MI)
Surgery Physician Taxonomy 208600000X · Licence 4301081948 (MI)

Record details

NPI number1679782395
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2007
Last updated in NPPESApril 26, 2013

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