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Individual

KENNETH DURRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
537 UNION AVE, SECOND FLOOR, 2A, GRANTS PASS, OR 97527-5543
(541) 474-5004
(541) 474-5009
Mailing address
2620 E BARNETT RD, SUITE H, MEDFORD, OR 97504-8344
(541) 789-4281
(541) 789-2558

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA171197
OR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/14/2015
Last updated
02/09/2015
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