Individual
MR. KENNETH WAYNE GAHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MS
Contact information
Practice address
5130 COOLIDGE HWY, ROYAL OAK, MI 48073-1001
(248) 288-9500
(248) 288-0044
Mailing address
3669 CROOKS RD, STE 17, ROYAL OAK, MI 48073-2458
(248) 549-1837
(248) 549-0044
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601004065
MI
Other
Enumeration date
09/27/2005
Last updated
01/04/2010
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