| Mr Kenneth Adams Crockett Jr, PA-C | |
|
1890 S Us Highway 131, Suite 4, Petoskey, MI 49770-8344 | |
| (231) 487-2000 | |
| Not Available |
| Full Name | Mr Kenneth Adams Crockett Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1890 S Us Highway 131, Petoskey, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053338830 | NPI | - | NPPES |
| KC001028 | Other | MI | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601001028 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Adams Crockett Jr, PA-C 1890 S Us Highway 131, Suite 4, Petoskey, MI 49770-8344 Ph: (231) 487-2000 | Mr Kenneth Adams Crockett Jr, PA-C 1890 S Us Highway 131, Suite 4, Petoskey, MI 49770-8344 Ph: (231) 487-2000 |
Ms. Sarah Dawn Elkins, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2390 Mitchell Park Dr Ste D, Petoskey, MI 49770 Phone: 231-242-1760 Fax: 978-367-5563 | |
Sarah Wadowski, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1890 Us Highway 131, Petoskey, MI 49770 Phone: 231-487-6000 Fax: 231-487-6014 | |
Danielle Nicole Cook, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St Ste 505, Petoskey, MI 49770 Phone: 231-487-2100 Fax: 231-487-1909 | |
Mr. James P Prokos, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 515 W Jefferson St, Petoskey, MI 49770 Phone: 231-348-5622 Fax: 231-348-5625 | |
Kathy Tuinhoff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St Ste 400, Petoskey, MI 49770 Phone: 231-487-2490 | |
Carianne Jeffers-wcisel, P.A.C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1250 Lears Rd, Petoskey, MI 49770 Phone: 231-242-1700 Fax: 231-242-1717 |