Kevin E Till Dpm Pc in Detroit - Podiatrist
Kevin E Till Dpm Pc - NPI 1164592820
Kevin E Till Dpm Pc is a Podiatrist in Detroit, Michigan. Kevin E Till Dpm Pc practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Kevin E Till Dpm Pc is 1164592820. The last update date is 2010-12-29.
Kevin E Till Dpm Pc's current location address is 4160 John R St, Detroit, Michigan. You can contact this provider via phone number 3138316442 and fax number 3138316513. The mailing address for Kevin E Till Dpm Pc is 4160 John R St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kevin E Till Dpm Pc |
|---|---|
| Address | 4160 John R St, Detroit, Michigan |
| Phone Number | 3138316442 |
| Fax Number | 3138316513 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Till E Kevin |
| Credentials | DPM |
| Telephone Number | 3138316442 |
NPI Number Detail
| NPI Number | 1164592820 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2010-12-29 |
Provider Mailing Address Detail
| Address | 4160 John R St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482012020 |
| Phone Number | 3138316442 |
| Fax Number | 3138316513 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 5901001067 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 133113886 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kevin E Till Dpm Pc by the Centers for Medicare & Medicaid Services?
The Kevin E Till Dpm Pc has been assigned the NPI (National Provider Identifier) 1164592820 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Kevin E Till Dpm Pc located?
The Kevin E Till Dpm Pc is located at 4160 John R St, Detroit, MI 482012020.
What is Kevin E Till Dpm Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kevin E Till Dpm Pc is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164592820 to Kevin E Till Dpm Pc?
The Centers for Medicare & Medicaid Services assigned the 1164592820 to Kevin E Till Dpm Pc on 2006-11-09.
When was the information regarding Kevin E Till Dpm Pc most recently updated?
The details pertaining to the Kevin E Till Dpm Pc, including its address, specialty, and other relevant information, were last refreshed on 2010-12-29.
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