Individual
KEVIN F DEDOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048-1640
(269) 345-1161
Mailing address
5943 STADIUM DR, KALAMAZOO, MI 49009-3016
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704260411
MI
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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