Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH ADAMS CROCKETT JR., PA-C
ActiveMR. KENNETH ADAMS CROCKETT JR., PA-C is a Medical Physician Assistant healthcare provider located in PETOSKEY, Michigan. NPI 1053338830 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · PETOSKEY, MI
Registration Details
- NPI Number
- 1053338830
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2006 (20.052724687094 yrs)
- Last Updated
- Apr 18, 2008
- License
-
5601001028 (MI)
Practice Information
- Address
-
1890 S US HIGHWAY 131SUITE 4PETOSKEY, MI, 497708344Browse MI providers · Browse ZIP 49770
- Phone
- 2314872000
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in PETOSKEY, MI
| Name | Credential | NPI |
|---|---|---|
| MR. KURT B ANDERSON | PA-C | 1447350855 |
| SARAH A ADAMS | P.A.C. | 1568559383 |
| JENNIFER ELIZABETH PHILLIPS | PAC | 1366580227 |
| MRS. NICOLE ELIZABETH RATAJ CASADY | PA-C | 1801081344 |
| MRS. COURTNEY GRIFFITH-SUMPTER | PHYSICIANS ASSISTANT | 1346406592 |
| MS. DEANNA LYNN GEISLER | PA-C | 1851622542 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.