Individual
KENNETH WHITCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
555 LINN ST, ALLEGAN, MI 49010-1524
(269) 673-8424
Mailing address
555 LINN ST, ALLEGAN, MI 49010-1524
(269) 673-8424
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704119711
MI
Other
Enumeration date
07/27/2006
Last updated
09/29/2011
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