IndividualActive
Kennedy Mcconnon, RN
NPI 1306555784 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Kentwood, MI
Provider details
- NPI number
- 1306555784
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 4704391552 (MI)
Specialties & taxonomies
- Child & Adolescent Psychiatric/Mental Health Registered NursePrimary163WP0807XLicense 4704391552 (MI)
Nursing Service Providers
Practice location
3300 36th St Se
Kentwood, MI 49512-2810
Phone: (616) 831-5547
Approximate (ZIP-level) locationGet directions
Mailing address
3300 36th St Se
Kentwood, MI 49512-2810
Registry dates
- Enumerated
- 2022-11-15
- Last updated
- 2022-11-15
- Certified
- 2022-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.