KENNEDY JENSEN OLIPHANT MD
NPI 1982333829
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Kennedy Oliphant's NPI number?

The NPI number for Kennedy Oliphant is 1982333829. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Q: What is Kennedy Oliphant's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kennedy Oliphant was last updated on December 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since June 07, 2022PECOS Enrolled

3901 BEAUBIEN ST, DETROIT, MI 48201(313) 745-5437 Get Directions Write a Review

NPPES record last updated: December 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2024, Jun 7, 2022 (2 updates tracked since 2022).

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About Kennedy Jensen Oliphant Md NPPES

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

KENNEDY JENSEN OLIPHANT MD (NPI 1982333829) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982333829

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKENNEDY JENSEN OLIPHANTCredential: MD

Location Address3901 BEAUBIEN STDetroit, MI 48201-2196

Mailing Address3901 Beaubien StDetroit, MI 48201-2119

Phone(313) 745-5437

Sole ProprietorYes

Enumeration DateJune 7, 2022

Last NPPES UpdateDecember 15, 20242 updates tracked since enumeration

NPPES CertifiedDecember 15, 2024

✔ NPI 1982333829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3901 BEAUBIEN ST, Detroit, MI 48201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kennedy Jensen Oliphant Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

KAROLINA MAKSIMOWSKI

Pediatrics (Pediatric Emergency Medicine)