1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Physician Assistant
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KENNEDY MCCULLERS
NPI 1649109000
Physician Assistant - Medical in Detroit, MI

Active since May 13, 2026
6700 W OUTER DR, DETROIT, MI 48235(313) 836-1700 Get Directions Write a Review

NPPES record added: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kennedy Mccullers NPPES

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

KENNEDY MCCULLERS (NPI 1649109000) is an individual medical provider in Detroit, Michigan and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1649109000
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKENNEDY MCCULLERS
Location Address6700 W OUTER DRDetroit, MI 48235-2724
Mailing Address20223 Beaverland StDetroit, MI 48219-1125 · (313) 418-0617
Phone(313) 836-1700
Sole ProprietorNo
Enumeration DateMay 13, 2026
NPPES CertifiedMay 13, 2026
✔ NPI 1649109000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
6700 W OUTER DR, Detroit, MI 48235
Open in Google Maps ↗

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.

MAYA LUBUS
Nurse Practitioner (Family)
6700 W OUTER DR
DETROIT, MI 48235
Wayne County (305) 564-9655
THERESA LE NGUYEN OTR/L
Occupational Therapist
6700 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 836-1700
EVELYN VRSEK
Student in an Organized Health Care Education/Training Program
6700 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 836-1700
SAAMIYA SURTI
Student in an Organized Health Care Education/Training Program
6700 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 836-1700
ASHLEY VANG
Student in an Organized Health Care Education/Training Program
6700 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 836-1700
OLIVIA HUDSON
Student in an Organized Health Care Education/Training Program
6700 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 836-1700
NY'DEA TERRELL
Student in an Organized Health Care Education/Training Program
6700 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 836-1700
MAREECA SIMPSON
Student in an Organized Health Care Education/Training Program
6700 W OUTER DR
DETROIT, MI 48235
Wayne County (313) 836-1700

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 Kennedy Mccullers's NPI number?

The NPI number for Kennedy Mccullers is 1649109000. It was assigned to this individual provider in the NPPES registry on May 13, 2026.

Where is Kennedy Mccullers located?

Kennedy Mccullers practices at 6700 W Outer Dr, Detroit, MI 48235. The listed phone number is (313) 836-1700.

What is Kennedy Mccullers's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kennedy Mccullers was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.