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

Ladawn Denise Kennedy, FNP

Individual provider Family Nurse Practitioner · NPI 1205482692

Ladawn Denise Kennedy, FNP is a Nurse Practitioner in Detroit, Michigan. Qualified in 2012, 14 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

16645 Ilene St
Detroit, MI 48221-3401
Phone: (313) 477-3661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 4704219940 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4704219940 (MI)

Record details

NPI number1205482692
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 13, 2019
Last updated in NPPESNovember 12, 2020
Certification dateNovember 12, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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