KENNETH BISHOP

TROY, MI
NPI1407815681
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MI  5101013989)
Enumeration Date2006-03-17
Last Update Date2022-07-22
Business Address
KENNETH BISHOP
44201 DEQUINDRE RD
TROY, MI 48085-1117
Phone number: 248-964-4044
Mailing Address
KENNETH BISHOP
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number: 947-522-1865