Individual provider · Type 1 NPI

Kenneth Wayne Gahry, PA-C, MS

Medical Physician Assistant · Royal Oak, MI

NPI number 1922094689 Active

Practice location

5130 Coolidge Hwy
Royal Oak, MI 48073-1001

Call (248) 288-9500 Map

Fax (248) 288-0044

Mailing address

3669 Crooks Rd, Ste 17
Royal Oak, MI 48073-2458

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601004065 (MI)

Medical Physician Assistant: Definition to come...

24 other providers at this address

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About NPI 1922094689

Kenneth Wayne Gahry, PA-C, MS's National Provider Identifier is 1922094689, issued on Sep 27, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Royal Oak, MI. The record was last updated on Jan 4, 2010.