Individual
MICHAEL KELLY HARKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
224 E CHISHOLM ST STE A, ALPENA, MI 49707-2820
(989) 354-5890
(989) 356-6213
Mailing address
PO BOX 158, ALPENA, MI 49707
(989) 354-5890
(989) 356-6213
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
000245
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900Z465080
BLUE CROSS
MI
Enumeration date
01/30/2006
Last updated
04/26/2018
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