Individual
KENNETH CONLEY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20120 BLACKSTONE ST, DETROIT, MI 48219-1382
(313) 468-2881
Mailing address
20120 BLACKSTONE ST, DETROIT, MI 48219-1382
(313) 468-2881
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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