Durell, Kevin

Durell, Kevin is an individual health care provider with primary practice located at 6245 Inkster Rd , Garden City MI 48135-4001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Durell, Kevin can be contacted via phone (734) 458-3300.

Contact Information

Primary practice address
6245 Inkster Rd Garden City MI 48135-4001
Phone: (734) 458-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 5101013226 Michigan

Profile Details

NPI number 1275574824
LBN Legal business name Durell, Kevin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jun 13th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275574824 NPPES
Michigan MEDICAID 114454656
Michigan MEDICAID 114703386
Michigan Other KD013226
Michigan MEDICAID 114308362
Michigan MEDICAID 114454665

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