Individual
MR. KEVIN R PAPENFUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1411 3RD ST STE C, PORT HURON, MI 48060-5480
(810) 488-8381
Mailing address
1411 3RD ST STE C, PORT HURON, MI 48060-5480
(810) 488-8381
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201003418
MI
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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