Individual
KEVIN JON TRAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
29877 TELEGRAPH RD, SUITE 100, SOUTHFIELD, MI 48034-1332
(248) 352-2806
(248) 352-9590
Mailing address
29877 TELEGRAPH RD, SUITE 100, SOUTHFIELD, MI 48034-1332
(248) 352-2806
(248) 352-9590
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004206
MI
Other
Enumeration date
01/10/2007
Last updated
10/19/2007
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