NPI 1982580957

Thaise Kennedy

Practitioner Licensed Vocational Nurse Clinton Township, MI

Practice location

Address: 42590 Stepnitz Dr, Clinton Township, MI 48036-3161
Phone: (586) 954-1838
Mailing address: 5241 Twin Oaks Dr, Sterling Heights, MI 48314-3159

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 4703123257 (MI)

Other Licensed Vocational Nurse providers in Michigan →

Registry record

NPI: 1982580957
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Aug 2025
Record last updated: 14 Aug 2025

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.