Individual
KEVIN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4444 KALAMAZOO AVE SE, KENTWOOD, MI 49508-4600
(616) 391-5600
(616) 391-5685
Mailing address
4444 KALAMAZOO AVE SE, KENTWOOD, MI 49508-4600
(616) 391-5600
(616) 391-5685
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301063089
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4199894
—
MI
Enumeration date
06/14/2005
Last updated
03/10/2021
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