Individual
KENNETH MICHAEL PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
529 N HEWITT, YPSILANTI, MI 48197
(734) 434-2277
Mailing address
529 N HEWITT, YPSILANTI, MI 48197
(734) 434-2277
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006708
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H15027
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/23/2007
Last updated
09/17/2010
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