Individual
KEVIN LEVEILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6165 HICKORY RD, OSCODA, MI 48750-9473
(989) 305-5324
Mailing address
6165 HICKORY RD, OSCODA, MI 48750-9473
(989) 305-5324
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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