Individual
KEVIN KATHAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2951 S BALDWIN RD, LAKE ORION, MI 48360-1665
(248) 391-1200
Mailing address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(313) 494-6700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901603055
MI
1223G0001X
General Practice Dentistry
2901603055
MI
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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