# KENNETH MICHAEL GORNEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255380796
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 6802076513 | MI | — |
| 363A00000X | Physician Assistant | 5601006182 | MI | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 05/12/2026
