Individual
MR. KEVIN J DAMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNMT & AART(N)
Contact information
Practice address
983 WING ST, PLYMOUTH, MI 48170-1725
(734) 414-7056
(734) 414-9925
Mailing address
983 WING ST, PLYMOUTH, MI 48170-1725
(734) 414-7056
(734) 414-9925
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
007988 & 193875
MI
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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