# KEVIN C SORENSEN, DPM, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760849327
- **Authorized official:** DR. KEVIN C SORENSEN D.P.M. (PRESIDENT)
- **Authorized official phone:** (419) 345-7867

## Contact information

- **Practice address:** 44000 W 12 MILE RD, SUITE 111, NOVI, MI 48377-2644
- **Practice address phone:** (248) 347-8233
- **Mailing address:** 200 E LONG LAKE RD, SUITE 110, BLOOMFIELD HILLS, MI 48304-2360
- **Mailing address phone:** (248) 645-9400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 01/26/2016
- **Last updated:** 01/26/2016