Kenneth Adams Crockett in Petoskey - Medical
Kenneth Adams Crockett - NPI 1053338830
Kenneth Adams Crockett is a Medical in Petoskey, Michigan. Kenneth Adams Crockett practices all healthcare services and medical treatments related to Medical. The NPI Number for Kenneth Adams Crockett is 1053338830. The last update date is 2008-04-18.
Kenneth Adams Crockett's current location address is 1890 S Us Highway 131, Petoskey, Michigan. You can contact this provider via phone number 2314872000. The mailing address for Kenneth Adams Crockett is 1890 S Us Highway 131, Petoskey, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Adams Crockett |
|---|---|
| Address | 1890 S Us Highway 131, Petoskey, Michigan |
| Phone Number | 2314872000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1053338830 |
|---|---|
| Provider Enumeration Date | 2006-07-16 |
| Last Updated Date | 2008-04-18 |
Provider Mailing Address Detail
| Address | 1890 S Us Highway 131 |
|---|---|
| City | Petoskey |
| State | Michigan (MI) |
| Post Code | 497708344 |
| Phone Number | 2314872000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 5601001028 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| KC001028 | MI | STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kenneth Adams Crockett by the Centers for Medicare & Medicaid Services?
The Kenneth Adams Crockett has been assigned the NPI (National Provider Identifier) 1053338830 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Kenneth Adams Crockett's physical address?
The Kenneth Adams Crockett is physically located at 1890 S Us Highway 131, in the city of Petoskey, MI, with the postal code 497708344.
What is Kenneth Adams Crockett's area of expertise and its corresponding taxonomy classification?
The Kenneth Adams Crockett's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1053338830 to Kenneth Adams Crockett?
The Centers for Medicare & Medicaid Services assigned the 1053338830 to Kenneth Adams Crockett on 2006-07-16.
When was the information regarding Kenneth Adams Crockett, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kenneth Adams Crockett, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-18.
NPI Number: 1932102142
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