Individual
KENNETH L GUY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6225 NORTH STATE HWY 161 STE 200, IRVING, TX 75038-2241
(214) 687-1000
Mailing address
24613 FAIRLAWN DR, FLAT ROCK, MI 48134-2768
(734) 626-9949
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704299199
MI
Other
Enumeration date
12/28/2020
Last updated
01/21/2021
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