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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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 1558440628 NPPES
Michigan Other 0F32365 BCBS
Michigan MEDICAID 104860996 BCBS

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