Individual
DR. KENNI JAE ALLEN EL-AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 436-2578
Mailing address
5649 GOLF POINTE DR, CLARKSTON, MI 48348-5148
(810) 423-5470
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301094292
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301094292
MI
Other
Enumeration date
07/28/2009
Last updated
06/26/2024
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