Individual
KENNETH M MACKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5694 MIDLAND RD, FREELAND, MI 48623
(989) 695-2123
Mailing address
5694 MIDLAND RD, FREELAND, MI 48623-8845
(989) 695-2123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
KM048873
MI
Other
Enumeration date
05/22/2006
Last updated
09/06/2012
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