Individual
MR. KEVIN SAMUEL PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
350 N MAIN ST, SUITE 180, CHELSEA, MI 48118-1370
(734) 475-9925
(734) 475-9927
Mailing address
730 CHICAGO DR, HOLLAND, MI 49423-3004
(616) 796-6781
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501016460
MI
Other
Enumeration date
08/27/2013
Last updated
01/08/2018
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