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Individual

DR. JAMES L KEHOE IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
21550 HARRINGTON ST, SUITE A, CLINTON TWP, MI 48036-2362
(586) 627-1100
(586) 627-1120
Mailing address
21510 HARRINGTON ST., SUITE 101, CLINTON TWP, MI 48036-2362
(586) 627-1100
(586) 627-1120

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
JK012581
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
383423447
TAX ID
MI
Enumeration date
05/27/2006
Last updated
10/04/2022
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