Kenneth Crockett, PA-C

NPI 1053338830 · on the registry since 2006

Practice

Address: 1890 S Us Highway 131
Suite 4
Petoskey, MI 49770
Phone: (231) 487-2000
Organisation at this address: Petoskey Urgent Care Pc
Petoskey Urgent Care Billing Pc
Quick Care Family Medical Center, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-04-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan