Individual
KEVIN LIVINGSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17177 N LAUREL PARK DR STE 131, LIVONIA, MI 48152-3952
(734) 462-3210
Mailing address
17177 N LAUREL PARK DR STE 131, LIVONIA, MI 48152-3952
(734) 462-3210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MI
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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