Individual
KEVIN CHEOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35425 W MICHIGAN AVE, WAYNE, MI 48184
(734) 467-7600
(734) 467-7646
Mailing address
35425 W MICHIGAN AVE, WAYNE, MI 48184-9800
(734) 467-7600
(734) 467-7646
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
6802089266
MI
Other
Enumeration date
09/28/2020
Last updated
08/15/2025
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