Individual
DR. KEVIN DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
IHA LAKE ORION PRIMARY CARE, 1375 S. LAPEER RD STE 210, LAKE ORION, MI 48360
(248) 693-5700
(248) 693-5715
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, SUITE J2000, ANN ARBOR, MI 48105
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101021949
MI
207Q00000X
Family Medicine Physician
DO194421
OR
Other
Enumeration date
04/13/2015
Last updated
11/04/2022
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