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

Patrick Kennedy

Individual provider Acute Care Nurse Practitioner · NPI 1720646375

Patrick Kennedy is a Nurse Practitioner in Warren, Michigan. Qualified in 2018, 8 years ago. Works from 2 locations. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2019

Practice location Address checks out

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone: (586) 573-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15855 19 Mile Rd, Clinton Township, MI 48038-3504 — (586) 263-2320

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4704301492 (MI)

Record details

NPI number1720646375
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 30, 2019
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026
Mailing address1 Ford Pl Ste 3a, Detroit, MI 48202-3450

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Warren