Individual
DR. KEVIN JAMES DONATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
17533 FORT ST, RIVERVIEW, MI 48193-6630
(734) 283-3200
(734) 283-5541
Mailing address
17533 FORT ST, RIVERVIEW, MI 48193-6630
(734) 283-3200
(734) 283-5541
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
2301007586
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4673483
—
MI
Enumeration date
07/26/2006
Last updated
07/09/2007
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