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Individual
KEVIN L VANALLEN
Active
Individual
KEVIN L VANALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301053221
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0804103371
BCBS
MI
01
—
1598712390
GROUP NPI
MI
05
—
4770001
—
MI
05
—
4770010
—
MI
05
—
4770020
—
MI
05
—
4773881
—
MI
05
—
4773952
—
MI
Enumeration date
05/17/2006
Last updated
02/16/2021
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