Individual
DR. KENNETH JOHN PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2909 E GRAND RIVER AVE, SUITE 211, LANSING, MI 48912-4300
(517) 364-8686
(517) 364-8685
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-6253
(517) 364-6204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101010707
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0153300795
BCBS INDIVIDUAL PIN
MI
05
—
2829520
—
MI
Enumeration date
09/29/2006
Last updated
09/21/2011
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