Blue, Kenneth Deon

Blue, Kenneth Deon is an sole proprietor health care provider with primary practice located at 12305 Dexter Ave , Detroit MI 48206-1015. He recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as his primary health care specialty. Blue, Kenneth Deon can be contacted via phone (313) 397-1306.

Contact Information

Primary practice address
12305 Dexter Ave Detroit MI 48206-1015
Phone: (313) 397-1306
Fax: (313) 397-6010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1518236116
LBN Legal business name Blue, Kenneth Deon
Credentials CADCM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2011
Last updated Dec 28th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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