# KEIRA DUVERNOY, DO, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CENTER FOR INTEGRATIVE MEDICINE, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699070870
- **Authorized official:** KEIRA DUVERNOY DO (PRESIDENT)
- **Authorized official phone:** (231) 947-0900

## Contact information

- **Practice address:** 697 HANNAH AVE, SUITE D, TRAVERSE CITY, MI 49686-2201
- **Practice address phone:** (231) 947-0900
- **Mailing address:** 697 HANNAH AVE, SUITE D, TRAVERSE CITY, MI 49686-2201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 5101009710 | MI | Yes |

## Other

- **Enumeration date:** 01/19/2011
- **Last updated:** 01/27/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1548234180 | NPI1 | — |