Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kennedy Jane Reboulet, PA-C

Individual provider Physician Assistant · NPI 1467231605

Kennedy Jane Reboulet, PA-C is a Physician Assistant in Ann Arbor, Michigan. Qualified in 2023, 3 years ago. Practices with University of Toledo Physicians LLC, a 395-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
3
Licensed in
MI, OH
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone: (734) 936-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3000 Arlington Ave Ste C, Toledo, OH 43614-2598 — (419) 383-3759

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011990 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 50.008442RX (OH)

Record details

NPI number1467231605
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2023
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice University Of Toledo Physicians Llc — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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