Individual
KEVIN MICHAEL FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8085 N 32ND ST, RICHLAND, MI 49083-9650
(269) 629-2020
Mailing address
7415 STONEY CREEK DR, AUGUSTA, MI 49012-8851
(269) 731-5665
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003815
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205320001
DMERC
MI
Enumeration date
01/09/2007
Last updated
07/30/2008
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