Individual
JOHN D KEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11275 SPRAGUE RD, DELTON, MI 49046-8493
(269) 623-7121
(269) 623-5527
Mailing address
11275 SPRAGUE RD, DELTON, MI 49046-8493
(269) 623-7121
(269) 623-5527
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601001735
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
371573958
TAX ID
MI
Enumeration date
08/23/2006
Last updated
06/25/2010
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