Individual
KEVIN MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1175 WILSON AVE NW, WALKER, MI 49534-3493
(616) 685-8650
(616) 791-2160
Mailing address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 685-1808
(616) 685-1850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301044990
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3522386
—
MI
05
—
4115508
—
MI
05
—
4162366
—
MI
05
—
4175810
—
MI
05
—
4179102
—
MI
05
—
4876940
—
MI
Enumeration date
05/25/2006
Last updated
12/14/2021
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