Individual
KEVIN ROSS DENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
37339 GREEN ST, NEW BALTIMORE, MI 48047-1664
(906) 202-3295
Mailing address
37339 GREEN ST, NEW BALTIMORE, MI 48047-1664
(906) 202-3295
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005888
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950Z21002
BCBS ID
MI
Enumeration date
02/23/2007
Last updated
01/10/2013
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