Kenneth MD Plc
NPI #1831603596 in East China, Michigan
Provider Information
- NPI Number
- 1831603596
- Entity Type
- Organization
- Organization Name
- Kenneth MD Plc
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Nov 16, 2017
- Last Updated
- Dec 27, 2019
Practice Location
- Address
- 4100 RIVER RD
- City
- East China
- State
- Michigan
- ZIP Code
- 48054-2909
- Phone
- (810) 329-7111
Authorized Official
- Name
- LYNN JUSTUSSON
- Title
- VP
- Phone
- (248) 743-0396
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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