Individual
ADAM KETTLEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1075 LEIDICH ST, LAKE ORION, MI 48362-2529
(517) 819-0899
Mailing address
1075 LEIDICH ST, LAKE ORION, MI 48362-2529
(517) 819-0899
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3501005129
MI
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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