Organization
KAIROS HEALTHCARE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED E. WIGEN JR. (PRESIDENT CEO)
(989) 777-4357
Entity
Organization
Contact information
Practice address
6379 DIXIE HWY, BRIDGEPORT, MI 48722-9566
(989) 777-4357
(989) 777-7257
Mailing address
6379 DIXIE HWY, BRIDGEPORT, MI 48722-9566
(989) 777-4357
(989) 777-7257
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14072
M CARE
MI
01
—
328565
VALUE OPTIONS
MI
01
—
7509108430
BCBS OF MI
MI
Enumeration date
03/16/2007
Last updated
01/02/2008
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