Provider Demographics
NPI:1902155096
Name:MURKOWSKI, KENNETH STEPHAN-JEROME II (DC)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:STEPHAN-JEROME
Last Name:MURKOWSKI
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6507 TOWN CENTER DR STE F
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-4826
Mailing Address - Country:US
Mailing Address - Phone:248-625-7600
Mailing Address - Fax:
Practice Address - Street 1:6507 TOWN CENTER DR STE F
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-4826
Practice Address - Country:US
Practice Address - Phone:248-625-7600
Practice Address - Fax:248-625-2772
Is Sole Proprietor?:No
Enumeration Date:2012-09-05
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009883111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor