Kenneth W Michael

NPI #1245404474 in Brazil, Indiana

Provider Information

NPI Number: 1245404474
Entity Type: Organization
Organization Name: Kenneth W Michael
Primary Specialty: Taxi
Enumeration Date: Apr 18, 2008
Last Updated: Jun 17, 2008

Practice Location

Address: 8245 N COUNTY RD 200 E
City: Brazil
State: Indiana
ZIP Code: 47834-7698
Phone: (812) 986-2456

Authorized Official

Name: MR. KENNETH W MICHAEL
Title: OWNER
Phone: (812) 986-2456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Taxi	344600000X	Primary

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