Individual
DR. KENNETH L. COLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
400 N WAYNE RD, WESTLAND, MI 48185-3628
(734) 522-7000
(734) 522-7012
Mailing address
400 N WAYNE RD, WESTLAND, MI 48185-3628
(734) 522-7000
(734) 522-7012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101009187
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080H225910
BCN PROVIDER NUMBER
MI
05
—
4331440
—
MI
Enumeration date
12/04/2006
Last updated
10/04/2022
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