NPI 1568062867

Stephanie Kennedy, CHNLMT

Practitioner Nutritionist Detroit, MI

Practice location

Address: 207 E Baltimore St, Detroit, MI 48202-3278
Phone: (313) 600-7505
Mailing address: 207 E Baltimore St APT 6, Detroit, MI 48202-3278

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence 89433--CERTIFICATION (MI)

Other Nutritionist providers in Michigan →

Registry record

NPI: 1568062867
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Oct 2020
Record last updated: 27 Oct 2020

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.