Kawa, Kenneth Darryl

Kawa, Kenneth Darryl is an individual health care provider with primary practice located at 21230 Dequindre Rd , Warren MI 48091-2279. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Kawa, Kenneth Darryl can be contacted via phone (586) 427-1000.

Contact Information

Primary practice address
21230 Dequindre Rd Warren MI 48091-2279
Phone: (586) 427-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704127316 Michigan

Profile Details

NPI number 1902874308
LBN Legal business name Kawa, Kenneth Darryl
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Nov 11th, 2009 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902874308 NPPES
Michigan MEDICAID 2749009
Michigan Other 430F364420

Popular Providers