Individual
DR. STEVEN JOE KIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2300 HAGGERTY RD STE 2130, WEST BLOOMFIELD, MI 48323-2191
(248) 668-1104
(248) 686-1096
Mailing address
2300 HAGGERTY ROAD, STE 2130, WEST BLOOMFIELD, MI 48323-2191
(248) 668-1104
(248) 668-1096
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
SK010029
MI
207YX0602X
Otolaryngic Allergy Physician
Primary
SK010029
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38-3440894
FEDERAL TAX ID FOR CORP.
MI
05
—
4100363
—
MI
05
—
4100372
—
MI
Enumeration date
01/11/2006
Last updated
02/06/2019
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