Organization
KEVIN M KARADEEMA DC PC
Active
Other names
RENAISSANCE CHIROPRACTIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN M KARADEEMA D.C. (DIRECTOR)
(313) 295-7760
Entity
Organization
Contact information
Practice address
22908 WICK RD, SUITE B, TAYLOR, MI 48180-3589
(313) 295-7760
Mailing address
22908 WICK RD, SUITE B, TAYLOR, MI 48180-3589
(313) 295-7760
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
KK005272
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2736548
—
MI
01
—
KK005272
LICENSE NUMBER
MI
Enumeration date
06/03/2006
Last updated
08/22/2020
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