Individual
MR. KENNETH JAMES EARLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPNP-AC
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-0113
Mailing address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-0113
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
2319119
MI
Other
Enumeration date
04/02/2013
Last updated
04/02/2013
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