Mccormick, Kevin

Mccormick, Kevin is an individual health care provider with primary practice located at 4444 Kalamazoo Ave Se , Kentwood MI 49508-4600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mccormick, Kevin can be contacted via phone (616) 391-5600.

Contact Information

Primary practice address
4444 Kalamazoo Ave Se Kentwood MI 49508-4600
Fax: (616) 391-5685
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301063089 Michigan

Profile Details

NPI number 1043215486
LBN Legal business name Mccormick, Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Mar 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043215486 NPPES
Michigan MEDICAID 4199894

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