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Kenneth Bishop

Emergency Medicine in Troy, MI. Individual provider (NPI-1).

NPI number1407815681
StatusActive
Last updated in NPPESJul 22, 2022

Details

NPI
1407815681
Entity type
Individual (NPI-1)
Name
Kenneth Bishop
Sex
Male
Sole proprietor
No
Enumeration date
Mar 17, 2006
Certification date
Jul 22, 2022
Last updated
Jul 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine5101013989MIYes

Practice location

44201 Dequindre Rd
Troy, MI 48085-1117

Phone 248-964-4044

Mailing address

26901 Beaumont Blvd Ste 3d
Southfield, MI 48033-3849

Phone 947-522-1865 · Fax 947-522-0307

Other practice locations

36555 26 Mile Rd Ste 1100
Lenox, MI 48048-3186

Phone 947-523-4040 · Fax 947-523-4011

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