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Individual
KEVIN KAYE MIKAELIAN
Active
Individual
KEVIN KAYE MIKAELIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G78209
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0219850005
CIGNA MEDICARE PIN
CA
Enumeration date
07/01/2005
Last updated
10/28/2010
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