Individual
KENNETH MAYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4299 LAKE STREET, BRIDGMAN, MI 49106
(269) 465-6221
(269) 465-6299
Mailing address
4299 LAKE STREET, BRIDGMAN, MI 49106
(269) 465-6221
(269) 465-6299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301093794
MI
Other
Enumeration date
12/17/2009
Last updated
04/05/2019
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