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NPI Code Detail

MEDICARE: DR. KEVIN DURELL D.O.

MEDICARE:  DR. KEVIN  DURELL  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician5101013226MI

Other Identifiers

General Provider Information

NPI Number : 1275574824
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN DURELL D.O.
Provider Business Mailing Address
First Line : PO BOX 100
Second Line :
City : ROYAL OAK
State : MI
Zip : 48068-0100
Country : US
Telephone Number : 248-849-3015
Fax Number :
Provider Business Practice Location Address
First Line : 6245 INKSTER RD
Second Line :
City : GARDEN CITY
State : MI
Zip : 48135-4001
Country : US
Telephone Number : 734-458-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 06/13/2010

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Directions to “ DR. KEVIN DURELL D.O.” Practice Location

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