Individual
MICHAEL KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 647-5299
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.440345
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
4704413844
MI
367500000X
Certified Registered Nurse Anesthetist
APRN.CRNA.0020441
OH
Other
Enumeration date
12/21/2021
Last updated
10/08/2024
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