Individual
KIRAN KINRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1375 FLUSHING RD, FLUSHING, MI 48433
(810) 659-2233
(810) 659-2246
Mailing address
1375 FLUSHING RD, FLUSHING, MI 48433-2262
(810) 659-2233
(810) 659-2246
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
KK042002
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010021744
PALMETTO GBA
—
01
—
1102500432
BLUE CROSS
MI
05
—
1347705
—
MI
01
—
4414745
AETNA
—
Enumeration date
06/24/2005
Last updated
06/22/2018
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