Lavery, Kevin

Lavery, Kevin is an individual health care provider with primary practice located at 1116 W Ganson St , Jackson MI 49202-4240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lavery, Kevin can be contacted via phone (517) 782-9436.

Contact Information

Primary practice address
1116 W Ganson St Jackson MI 49202-4240
Phone: (517) 782-9436
Fax: (517) 782-5166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301055930 Michigan

Profile Details

NPI number 1629073036
LBN Legal business name Lavery, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Sep 20th, 2018 - about 6 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 1629073036 NPPES
Michigan Other 180F373640 BCBSM
Michigan MEDICAID 3287606 BCBSM
Michigan Other 180H149970 BCBSM
Michigan MEDICAID 3037800 BCBSM
Michigan Other 180C846310 BCBSM
Michigan MEDICAID 3222862 BCBSM
Michigan Other 180019354 BCBSM

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