Thaise Kennedy, is a
Licensed Vocational Nurse based in Clinton Township, Michigan. Thaise Kennedy is licensed to practice in Michigan (license number 4703123257) and her current practice location is
42590 Stepnitz Dr, Clinton Township, Michigan. She can be reached at her office (for appointments etc.) via phone at
(586) 954-1838.
NPI number for Thaise Kennedy is 1982580957 and her current mailing address is 5241 Twin Oaks Dr, Sterling Heights, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982580957.
Provider's Profile
Full Name | Thaise Kennedy |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 42590 Stepnitz Dr, Clinton Township, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982580957
- Provider Enumeration Date: 08/14/2025
- Last Update Date: 08/14/2025
Medical Identifiers
Medical identifiers for Thaise Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982580957 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 4703123257 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thaise Kennedy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Thaise Kennedy, 5241 Twin Oaks Dr, Sterling Heights, MI 48314-3159 Ph: (586) 339-0660 | Thaise Kennedy, 42590 Stepnitz Dr, Clinton Township, MI 48036-3161 Ph: (586) 954-1838 |
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