Individual
DR. KEVIN MICHAEL MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3802 W KALAMAZOO ST, LANSING, MI 48917-3653
(517) 485-7300
Mailing address
3802 W KALAMAZOO ST, LANSING, MI 48917-3653
(517) 485-7300
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901001163
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881660
—
MI
01
—
4852310350
BLUE CROSS
MI
Enumeration date
01/19/2007
Last updated
07/08/2007
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