Kenton Wadsworth LLC
Acupuncturist in Novi, MI. Organization (NPI-2).
NPI number1184185159
StatusActive
Last updated in NPPESMar 30, 2019
Details
- NPI
- 1184185159
- Entity type
- Organization (NPI-2)
- Legal business name
- Kenton Wadsworth LLC
- Organization subpart
- No
- Enumeration date
- Mar 30, 2019
- Last updated
- Mar 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | – | – | Yes |
Practice location
44150 W 12 Mile Rd Ste 300Novi, MI 48377-2649
Phone 248-946-4755
Mailing address
44150 W 12 Mile Rd Ste 300Novi, MI 48377-2649
Phone 248-946-4755
Authorized official
Kenton Wadsworth
President
2489464755
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