Kennedy Mamo, RN, IBCLC - Registered Nurse in Rochester Hills, MI

Kennedy Mamo, RN, IBCLC is a Registered Nurse - Lactation Consultant based in Rochester Hills, Michigan. Kennedy Mamo is licensed to practice in Michigan (license number 4707375748) and her current practice location is 1701 South Blvd E Ste 350, Rochester Hills, Michigan. She can be reached at her office (for appointments etc.) via phone at (248) 997-5805.

NPI number for Kennedy Mamo is 1366280620 and her current mailing address is 6912 Yorktown Ln, Shelby Township, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366280620.

Contact Information

Kennedy Mamo, RN, IBCLC
1701 South Blvd E Ste 350,
Rochester Hills, MI 48307-6117
(248) 997-5805
Not Available

Map and Direction




Provider's Profile

Full NameKennedy Mamo
GenderFemale
SpecialityRegistered Nurse - Lactation Consultant
Location1701 South Blvd E Ste 350, Rochester Hills, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366280620
  • Provider Enumeration Date: 07/19/2024
  • Last Update Date: 07/19/2024

Medical Identifiers

Medical identifiers for Kennedy Mamo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366280620NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WL0100XRegistered Nurse - Lactation Consultant 4707375748 (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. Kennedy Mamo 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 AddressPractice Location Address
Kennedy Mamo, RN, IBCLC
6912 Yorktown Ln,
Shelby Township, MI 48317-4265

Ph: () -
Kennedy Mamo, RN, IBCLC
1701 South Blvd E Ste 350,
Rochester Hills, MI 48307-6117

Ph: (248) 997-5805

Reviews and Comments


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