Individual
DR. KENNETH JOHN SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2215 FULLER ROAD, ANN ARBOR VA HEALTH CARE SYSTEM (160), ANN ARBOR, MI 48105
(734) 761-7923
Mailing address
PO BOX 134002, ANN ARBOR, MI 48113-4002
(734) 222-4325
(734) 222-4341
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901016351
MI
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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