KENNETH ANDREW WILLARD

LANSING, MI
NPI1972839306
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704225787)
Enumeration Date2009-10-20
Last Update Date2009-10-20
Business Address
Mr. KENNETH ANDREW WILLARD CRNA
1215 E MICHIGAN AVE
LANSING, MI 48912-1811
Phone number: 517-364-3350
Mailing Address
Mr. KENNETH ANDREW WILLARD CRNA
PO BOX 13008
LANSING, MI 48901-3008
Phone number: 517-364-3350
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