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General NPI Number Information
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NPI Number | 1427037282
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Entity Type | Individual
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Provider Name | STEVEN JOE KIN D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 02/06/2019
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Provider Practice Location Address
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Address Line | 2300 HAGGERTY RD STE 2130
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48323-2191
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Country | US
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Telephone | 248-668-1104
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Fax | 248-686-1096
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Provider Business Mailing Address
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Address Line | 2300 HAGGERTY ROAD STE 2130
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48323-2191
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Country | US
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Telephone | 248-668-1104
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Fax | 248-668-1096
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | SK010029
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | SK010029
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License Number State | MI
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