Dalen, Kenneth

Dalen, Kenneth is an individual health care provider with primary practice located at 44201 Dequindre Rd , Troy MI 48085-1117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Dalen, Kenneth can be contacted via phone (248) 964-5190.

Contact Information

Primary practice address
44201 Dequindre Rd Troy MI 48085-1117
Phone: (248) 964-5190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301052664 Michigan

Profile Details

NPI number 1851350763
LBN Legal business name Dalen, Kenneth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 15th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851350763 NPPES
Michigan MEDICAID 2833757
Michigan Other 300F362420

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