Individual
DR. KENNETH A PARADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
748 S MAIN ST, CHEBOYGAN, MI 49721-2220
(231) 627-5601
(231) 627-1471
Mailing address
PO BOX 419, CHEBOYGAN, MI 49721-0419
(231) 627-5601
(231) 627-1471
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301050538
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0801600151
INDIVIDUAL BLUE CROSS
MI
05
—
2933627
—
MI
Enumeration date
07/09/2006
Last updated
07/08/2007
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