Individual
DAVID KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-7200
Mailing address
12786 DUNDEE DR, GRAND LEDGE, MI 48837-8956
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007504
MI
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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