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DR. NICOLE A KENNEDY MD
NPI 1679782395
Surgery - Vascular Surgery in West Bloomfield, MI

Active since May 21, 2007
6777 W MAPLE RD, DEPARTMENT OF VASCULAR SURGERY, WEST BLOOMFIELD, MI 48322(248) 325-3087(248) 325-0071 Get Directions Write a Review

NPPES record last updated: April 26, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Nicole A Kennedy Md NPPES

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

DR. NICOLE A KENNEDY MD (NPI 1679782395) is an individual vascular surgery provider in West Bloomfield, Michigan, licensed in Michigan (4301081948) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1679782395
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameDR. NICOLE A KENNEDYCredential: MD
Location Address6777 W MAPLE RD, DEPARTMENT OF VASCULAR SURGERYWest Bloomfield, MI 48322-3013
Mailing Address6777 W Maple Rd, Department Of Vascular SurgeryWest Bloomfield, MI 48322-3013 · (248) 325-3087 · Fax (248) 325-0071
Phone(248) 325-3087
Fax(248) 325-0071
Sole ProprietorNo
Enumeration DateMay 21, 2007
Last NPPES UpdateApril 26, 2013
✔ NPI 1679782395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MI · 4301081948
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 4301081948 (MI)
6777 W MAPLE RD, West Bloomfield, MI 48322
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

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.

IRB MEDICAL EQUIPMENT LLC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
6777 W MAPLE RD, RM 60-01
WEST BLOOMFIELD, MI 48322
Oakland County (248) 862-7214
MELISSA ANNE BARACH AGCNS
Clinical Nurse Specialist
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (989) 245-7466
ANNA CEDOZ CCC-SLP
Speech-Language Pathologist
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (248) 325-1000
SAYEDUL ISLAM
Specialist/Technologist, Other (Surgical Assistant)
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (800) 653-6568
MADISON SOKOL MOT
Occupational Therapist
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (248) 325-3113
SARAH ANNE MATTAN PA
Physician Assistant (Medical)
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (800) 653-6568
JENNIFER LEE FRANKLIN M.D.
Emergency Medicine
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (843) 876-8023
NICOLE AURORA RADU-YAKOB CRNA
Nurse Anesthetist, Certified Registered
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (248) 661-4100

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 Nicole Kennedy's NPI number?

The NPI number for Nicole Kennedy is 1679782395. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Nicole Kennedy located?

Nicole Kennedy practices at 6777 W Maple Rd Department Of Vascular Surgery, West Bloomfield, MI 48322. The listed phone number is (248) 325-3087.

What is Nicole Kennedy's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

What insurance does Nicole Kennedy accept?

Health plans from McLaren Health Plan Community list Nicole Kennedy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Kennedy was last updated on April 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.