SearchMichiganOther Technician

Kenneth Conley

NPI 1306298781 · on the registry since 2016

Practice

Address
20120 Blackstone St
Detroit, MI 48219
Phone
(313) 468-2881

Registry record

Primary taxonomy
Other Technician
247200000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-07-08

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