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Keith Bradley Pennycook, DO
Student in an Organized Health Care Education/Training Program in Rochester, Michigan
NPI 1821651944

Keith Bradley Pennycook is a Student in an Organized Health Care Education/Training Program based in Troy, MI. Keith Bradley Pennycook practices in Rochester, MI and has the professional credentials of DO. The NPI Number for Keith Bradley Pennycook is 1821651944 and holds a License No. (Michigan).

The current practice location address for Keith Bradley Pennycook is 1101 W University Dr, Rochester, MI and can be reached out via phone at 248-601-4900.

Location: 1101 W University Dr, Rochester, MI, 48098-2083
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821651944
Provider Name
Keith Bradley Pennycook
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1101 W University Dr, Rochester, MI, 48098-2083
Phone Number
248-601-4900
Fax Number
Provider Enumeration Date
04/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1101 W University Dr
City
Rochester
State
Michigan
Zip
48307-1863
Phone Number
248-601-4900
Fax Number
person
Provider Business Mailing Address Details
Address
1101 W University Dr
City
Rochester
State
Michigan
Zip
48307-1863
Phone Number
248-601-4900
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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