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

Michelle Kennedy, RSA

Individual provider Surgical Technologist · NPI 1104065713

Michelle Kennedy, RSA is a Surgical Technologist in Springfield, Illinois. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2

Practice location Address checks out

1301 S Koke Mill Rd
Springfield, IL 62711-9252
Phone: (217) 547-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X
Surgical Technologist Taxonomy 246ZS0410X

Record details

NPI number1104065713
Entity typeIndividual (Type 1)
GenderFemale
Credentials RSA
Sole proprietorNo
NPI enumeratedFebruary 5, 2009
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022
Mailing address1301 S Koke Mill Rd, Springfield, IL 62711-9252

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