Individual
KENNETH MICHAEL GORNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3681 OKEMOS RD STE 500, OKEMOS, MI 48864-6923
(517) 455-7600
Mailing address
5410 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-5339
(615) 371-5744
(888) 241-1404
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6802076513
MI
363A00000X
Physician Assistant
Primary
5601006182
MI
Other
Enumeration date
05/10/2006
Last updated
05/12/2026
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