Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH ALBERT BORENITSCH, D.O.
Active Sole ProprietorDR. KENNETH ALBERT BORENITSCH, D.O. is a General Practice healthcare provider located in MANISTEE, Michigan. NPI 1992852685 is currently active in the NPPES registry. Verify at CMS.
General Practice · MANISTEE, MI
Registration Details
- NPI Number
- 1992852685
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 4, 2007 (19.420751191598 yrs)
- Last Updated
- Feb 27, 2014
- License
-
5101007441 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1237 E PARKDALE AVESUITE 2MANISTEE, MI, 496609353Browse MI providers · Browse ZIP 49660
- Phone
- 2317238521
- Fax
- 2313980478
- Primary Specialty
-
General Practice
208D00000X
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.