Individual
KEVIN FOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
804 SERVICE RD, A142, EAST LANSING, MI 48824-7015
(517) 353-3050
(517) 432-3742
Mailing address
804 SERVICE RD, A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301407077
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301407077
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750335865
—
MI
05
—
4375006
—
MI
05
—
4437065
—
MI
05
—
4540413
—
MI
05
—
4568970
—
MI
05
—
4587492
—
MI
05
—
4877376
—
MI
05
—
4877877
—
MI
05
—
4879076
—
MI
Enumeration date
05/22/2006
Last updated
07/12/2016
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