Kutskill, Kevin Alan
Kutskill, Kevin Alan is an sole proprietor health care provider with primary practice located at 35054 23 Mile Rd 101, New Baltimore MI 48047-2019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kutskill, Kevin Alan can be contacted via phone (586) 725-2670.Contact Information
Primary practice address
35054 23 Mile Rd 101
New Baltimore MI 48047-2019
Phone: (586) 725-2670
Fax: (586) 725-3347
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301052707 | Michigan |
Profile Details
| NPI number | 1679689087 |
|---|---|
| LBN Legal business name | Kutskill, Kevin Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1679689087 | NPPES |
| Michigan | MEDICAID | 2899472 |
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