Individual
MR. KEVIN M DAYMON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
50 NORTH PERRY, PONTIAC, MI 48342
(248) 338-5000
(248) 338-5547
Mailing address
50 NORTH PERRY, PONTIAC, MI 48342
(248) 338-5000
(248) 338-5547
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704190088
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KD190088
BCBS
MI
Enumeration date
06/08/2006
Last updated
07/08/2007
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