Search › Michigan › 324500000X
Kenneth Blue, CADCM
NPI 1518236116 · on the registry since 2011 · sole proprietor
Practice
- Address
- 12305 Dexter Ave
Detroit, MI 48206 - Phone
- (313) 397-1306
- Fax
- (313) 397-6010
- Organisation at this address
- Get Back Up, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 324500000X
324500000X
- Sex
- Male
- Record last updated
- 2011-12-28
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