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Individual

DR. KENNETH P HIGHHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
315 TURWILL LN, KALAMAZOO, MI 49006-4231
(269) 343-8170
(269) 382-2388
Mailing address
315 TURWILL LN, KALAMAZOO, MI 49006-4231
(269) 343-8170
(269) 382-2388

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301056098
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1184668758
MI
01
155408
GREAT LAKES HLTH PLN
01
2003901651
BCBS IND PIN
MI
01
200C911390
BCBS GRP PIN
MI
05
4425592-10
MI
01
4668339
AETNA PIN
Enumeration date
06/15/2006
Last updated
11/27/2023
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