Individual
MR. KENNETH MARK RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4500 S SAGINAW ST, FLINT, MI 48507-2676
(810) 766-6412
(810) 760-9900
Mailing address
1332 POTTER BLVD, BURTON, MI 48509-2133
(810) 249-8222
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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