Individual
DR. KEVIN DURELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-3300
Mailing address
PO BOX 100, ROYAL OAK, MI 48068-0100
(248) 849-3015
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5101013226
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114308362
—
MI
05
—
114454656
—
MI
05
—
114454665
—
MI
05
—
114703386
—
MI
01
—
KD013226
BC/BS OF MICHIGAN
MI
Enumeration date
06/08/2006
Last updated
06/13/2010
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