Individual
KENNETH D CALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
642 E 9 MILE RD, FERNDALE, MI 48220-1962
(248) 547-2668
Mailing address
3363 LANDVIEW DR, ROCHESTER, MI 48306-1152
(248) 935-3620
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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