KENNETH ADAMS CROCKETT

PETOSKEY, MI
NPI1053338830
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601001028)
Enumeration Date2006-07-16
Last Update Date2008-04-18
Business Address
Mr. KENNETH ADAMS CROCKETT PA-C
1890 S US HIGHWAY 131 SUITE 4
PETOSKEY, MI 49770-8344
Phone number: 231-487-2000
Mailing Address
Mr. KENNETH ADAMS CROCKETT PA-C
1890 S US HIGHWAY 131 SUITE 4
PETOSKEY, MI 49770-8344
Phone number: 231-487-2000