Individual
DR. KEVIN M KARADEEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
22908 WICK RD, SUITE B, TAYLOR, MI 48180-3589
(313) 295-7760
Mailing address
22908 WICK RD, SUITE B, TAYLOR, MI 48180-3589
(313) 295-7760
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4356
AZ
111N00000X
Chiropractor
KKOO5272
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2736548
—
MI
01
—
95OH25311
PROVIDER ID
MI
Enumeration date
03/29/2006
Last updated
02/07/2020
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