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1184331357
KENNETH KAMPHORST
DETROIT, MI
NPI
1184331357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WC0200X Registered Nurse, Critical Care Medicine
(Licence: OH RN.240294)
Enumeration Date
2022-10-27
Last Update Date
2022-10-27
Business Address
KENNETH KAMPHORST
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
KENNETH KAMPHORST
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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