Individual
KEVIN TYLER PEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 544-3000
Mailing address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 544-3000
(734) 544-6716
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704378159
MI
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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