Herzog, Kevin M.

Herzog, Kevin M. is an individual health care provider with primary practice located at 601 John St , Kalamazoo MI 49007-5341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Herzog, Kevin M. can be contacted via phone (269) 341-7654.

Contact Information

Primary practice address
601 John St Kalamazoo MI 49007-5341
Phone: (269) 341-7654
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 4301073426 Michigan

Profile Details

NPI number 1124001029
LBN Legal business name Herzog, Kevin M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Sep 29th, 2021 - about 4 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 1124001029 NPPES
Other 220027375 RAILROAD
Other 4301073426 RAILROAD
MEDICAID 4143745 RAILROAD
Other 220026538 RAILROAD
MEDICAID 4148320 RAILROAD

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