DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENNETH R CERVONE, MD

Active

DR. KENNETH R CERVONE, MD is a Orthopaedic Surgery healthcare provider located in ST CLAIR SHORE, Michigan. NPI 1316937873 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery · ST CLAIR SHORE, MI

Registration Details

NPI Number
1316937873
Provider Type
Individual
Gender
Male
NPI Issued
Oct 26, 2005 (20.796038845808 yrs)
Last Updated
Feb 19, 2014
License
4301058405 (MI)

Practice Information

Address
24715 LITTLE MACK
STE 100
ST CLAIR SHORE, MI, 48080
Browse MI providers · Browse ZIP 48080
Phone
5867797970
Fax
5867797748
Primary Specialty
Orthopaedic Surgery
207X00000X
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.