Individual
JAMES FRANCIS KOKENYESDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 966-3390
Mailing address
4200 N RIVER RD, FORT GRATIOT, MI 48059-4052
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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