MR. Kenneth Adams Crockett JR., PA-C

NPI #1053338830 in Petoskey, Michigan

Provider Information

NPI Number
1053338830
Entity Type
Individual
Name
MR. Kenneth Adams Crockett JR., PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Jul 16, 2006
Last Updated
Apr 18, 2008

Practice Location

Address
1890 S US HIGHWAY 131
Address 2
SUITE 4
ZIP Code
49770-8344
Phone
(231) 487-2000

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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