Individual
MR. KENNETH WILLIAM MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSED
Contact information
Practice address
220 EAST KING STREET, YORK, VA 17403
(717) 843-4357
(717) 854-0000
Mailing address
832 MCKENZIE STREET, YORK, PA 17403-3122
(717) 845-2242
(717) 854-0000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PA003003L
PA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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