Dr KENNETH M SON OD is a male medical professional, specializing in Internal Medicine. He graduated in 2011.
4220 S HOSPITAL DR
MEDILODGE OF ST CLAIR
EAST CHINA
MI
480542200
Tel:
| Npi | 1831194992 |
| Pac Id | 1658307954 |
| Professional Enrollment Id | I20150622002033 |
| Last Name | SON |
| First Name | KENNETH |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | OD |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Secondary Specialty 4 | |
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| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 4220 S HOSPITAL DR |
| Line 2 Street Address | MEDILODGE OF ST CLAIR |
| Marker Of Address Line 2 Suppression | |
| City | EAST CHINA |
| State | MI |
| Zip Code | 480542200 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 230241 |
| Hospital Affiliation Lbn 1 | ST JOHN RIVER DISTRICT HOSPITAL |
| Hospital Affiliation Ccn 2 | 230193 |
| Hospital Affiliation Lbn 2 | MCLAREN LAPEER REGION |
| Hospital Affiliation Ccn 3 | 230165 |
| Hospital Affiliation Lbn 3 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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