Individual
MR. KENNETH MARTIN RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
410 N WILLOWBROOK RD, COLDWATER, MI 49036-9462
(517) 279-9599
(517) 279-1679
Mailing address
410 N WILLOWBROOK RD, COLDWATER, MI 49036-9462
(517) 279-9599
(517) 279-1679
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704227776
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704227776
NURSE PRACTITIONER
MI
Enumeration date
11/10/2010
Last updated
11/16/2010
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