Kezlarian, Kim Ford
Kezlarian, Kim Ford is an individual health care provider with primary practice located at 26300 Woodward Ave , Royal Oak MI 48067-0917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kezlarian, Kim Ford can be contacted via phone (245) 546-2110.Contact Information
Primary practice address
26300 Woodward Ave
Royal Oak MI 48067-0917
Phone: (245) 546-2110
Fax: (248) 546-8176
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301041887 | Michigan |
Profile Details
NPI number | 1558440628 |
---|---|
LBN Legal business name | Kezlarian, Kim Ford |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 2nd, 2006 |
Last updated | Oct 15th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558440628 | NPPES |
Michigan | Other | 0F32365 | BCBS |
Michigan | MEDICAID | 104860996 | BCBS |
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