Kevin A Agrest is a Family Medicine in Warren, Michigan. Kevin A Agrest practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kevin A Agrest is 1386625606. The last update date is 2012-08-16.
Kevin A Agrest's current location address is 21647 Ryan Rd, Warren, Michigan. You can contact this provider via phone number 5867574200 and fax number 5867578332. The mailing address for Kevin A Agrest is 21647 Ryan Rd, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin A Agrest |
|---|---|
| Address | 21647 Ryan Rd, Warren, Michigan |
| Phone Number | 5867574200 |
| Fax Number | 5867578332 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1386625606 |
|---|---|
| Provider Enumeration Date | 2005-11-14 |
| Last Updated Date | 2012-08-16 |
Provider Mailing Address Detail
| Address | 21647 Ryan Rd |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480912795 |
| Phone Number | 5867574200 |
| Fax Number | 5867578332 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101014983 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5101014983 | MI | STATE LICENSE NUMBER | |
| 858214695 | MI | BCBSM |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kevin A Agrest by the Centers for Medicare & Medicaid Services?
The Kevin A Agrest has been assigned the NPI (National Provider Identifier) 1386625606 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Kevin A Agrest's physical address?
The Kevin A Agrest is physically located at 21647 Ryan Rd, in the city of Warren, MI, with the postal code 480912795.
What is Kevin A Agrest's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kevin A Agrest is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1386625606 to Kevin A Agrest?
The Kevin A Agrest received its 1386625606 assignment from the Centers for Medicare & Medicaid Services on 2005-11-14.
When was the information regarding Kevin A Agrest most recently updated?
The details pertaining to the Kevin A Agrest, including its address, specialty, and other relevant information, were last refreshed on 2012-08-16.