NPI 1902499767
Mid-Mitten Pediatric Psychiatry
Practice location
- Address
- 1660 Haslett Rd STE 1, Haslett, MI 48840-8469
- Phone
- (517) 347-8420
- Fax
- (517) 347-8420
Authorised official
- Name
- Samantha Fugate Kennedy
- Title
- Physician/Owner
- Phone
- (517) 347-8420
Registered specialties
Child & Adolescent Psychiatry Physician
Primary
Registry record
- NPI
- 1902499767
- Entity type
- Organization
- NPI issued
- 12 Feb 2021
- Record last updated
- 12 Feb 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.