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ANGELENE ROSE KENNEDY RN
NPI 1053079707
Registered Nurse - General Practice in Novi, MI

Active since November 30, 2021
24230 KARIM BLVD STE 100, NOVI, MI 48375(248) 745-4900 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angelene Rose Kennedy Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELENE ROSE KENNEDY RN (NPI 1053079707) is an individual general practice provider in Novi, Michigan, licensed in Michigan (4704309210) and active in the NPI registry since November 2021. She maintains a secondary practice location in Waterford.

NPPES Registry Identity

NPI1053079707
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameANGELENE ROSE KENNEDYCredential: RN
Location Address24230 KARIM BLVD STE 100Novi, MI 48375-2960
Mailing Address28428 W 8 Mile Rd Unit C8Farmington Hills, MI 48336-5951 · (734) 560-6538
Phone(248) 745-4900
Sole ProprietorNo
Enumeration DateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
✔ NPI 1053079707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in MI · 4704309210
24230 KARIM BLVD STE 100, Novi, MI 48375
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Secondary Practice Location 1

Location 1279 Summit DrWaterford, MI 48328-3364 · Phone (248) 745-4900

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TRACY M SAFRANSKI
Counselor
24230 KARIM BLVD STE 100
NOVI, MI 48375
Oakland County (248) 724-6195
LAUREN BOOTH BSN, RN
Registered Nurse (Psychiatric/Mental Health)
24230 KARIM BLVD STE 100
NOVI, MI 48375
Oakland County (248) 745-4900
COURTNEY DELONGCHAMP
Social Worker (Clinical)
24230 KARIM BLVD STE 100
NOVI, MI 48375
Oakland County (248) 745-4900
STEPHANIE MINAUDO LMSW
Social Worker
24230 KARIM BLVD STE 100
NOVI, MI 48375
Oakland County (248) 745-4900
VALARIE ORR-HAROLD
Registered Nurse
24230 KARIM BLVD STE 100
NOVI, MI 48375
Oakland County (248) 871-1452
CARLYNN DENISE NICHOLS LMSW
Social Worker (Clinical)
24230 KARIM BLVD STE 100
NOVI, MI 48375
Oakland County (248) 745-4900
IVANA COOPER
Case Manager/Care Coordinator
24230 KARIM BLVD STE 100
NOVI, MI 48375
Oakland County (248) 745-4900
CNS HEALTHCARE
Community/Behavioral Health
24230 KARIM BLVD STE 100
NOVI, MI 48375
Oakland County (248) 745-4900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelene Kennedy's NPI number?

The NPI number for Angelene Kennedy is 1053079707. It was assigned to this individual provider in the NPPES registry on November 30, 2021.

Where is Angelene Kennedy located?

Angelene Kennedy practices at 24230 Karim Blvd Ste 100, Novi, MI 48375. The listed phone number is (248) 745-4900.

What is Angelene Kennedy's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

When was this NPI record last updated?

The NPPES record for Angelene Kennedy was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.