Moran, Kevin Michael

Moran, Kevin Michael is an individual health care provider with primary practice located at 3802 W Kalamazoo St , Lansing MI 48917-3653. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Moran, Kevin Michael can be contacted via phone (517) 485-7300.

Contact Information

Primary practice address
3802 W Kalamazoo St Lansing MI 48917-3653
Phone: (517) 485-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 5901001163 Michigan

Profile Details

NPI number 1619020906
LBN Legal business name Moran, Kevin Michael
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619020906 NPPES
Michigan MEDICAID 1881660
Michigan Other 4852310350

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