Individual
DR. KEVIN FREDERICK CAROCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
36500 S GRATIOT AVE, CLINTON TWP, MI 48035-1772
(586) 790-9003
Mailing address
36500 S GRATIOT AVE, CLINTON TWP, MI 48035-1772
(586) 790-9003
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5151013748
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
04/03/2019
Last updated
05/04/2020
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