Individual
KEVIN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19346 MIDDLESEX AVE, SOUTHFIELD, MI 48076-4439
(313) 333-1318
Mailing address
19346 MIDDLESEX AVE, SOUTHFIELD, MI 48076-4439
(313) 333-1318
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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