Individual
MR. KENNETH ELWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, CMT
Contact information
Practice address
1673 W MILLINGTON RD, FOSTORIA, MI 48435-9725
(989) 795-2641
Mailing address
1673 W MILLINGTON RD, FOSTORIA, MI 48435-9725
(989) 795-2641
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
4704202174
MI
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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