Individual
MR. KEVIN MADISON EAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
7200 CHALLIS RD, BRIGHTON, MI 48116-7411
(810) 227-0119
Mailing address
7200 CHALLIS RD, BRIGHTON, MI 48116-7411
(810) 227-0119
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000937
MI
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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