IndividualActive
Kenneth Longton, RN, BSN
NPI 1699026872 · Administrator Registered Nurse · Southgate, MI
Provider details
- NPI number
- 1699026872
- Entity type
- Individual
- Primary specialty
- Administrator Registered NurseNursing Service Providers
- Credential
- RN, BSN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4704129838 (MI)
Specialties & taxonomies
Nursing Service Providers
Practice location
14799 Dix Toledo Rd
Southgate, MI 48195-2507
Phone: (734) 324-8326
Fax: (734) 324-8327
Approximate (ZIP-level) locationGet directions
Mailing address
14799 Dix Toledo Rd
Southgate, MI 48195-2507
Registry dates
- Enumerated
- 2012-09-27
- Last updated
- 2012-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.