# KENTON WADSWORTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184185159
- **Authorized official:** KENTON WADSWORTH (PRESIDENT)
- **Authorized official phone:** (248) 946-4755

## Contact information

- **Practice address:** 44150 W 12 MILE RD STE 300, NOVI, MI 48377-2649
- **Practice address phone:** (248) 946-4755
- **Mailing address:** 44150 W 12 MILE RD STE 300, NOVI, MI 48377-2649
- **Mailing address phone:** (248) 946-4755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 03/30/2019
- **Last updated:** 03/30/2019