DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KELLY DUVALL

MEDICARE: KELLY DUVALL
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1225802937
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY DUVALL
Provider Business Mailing Address
First Line : 1235 HOWARD ST
Second Line :
City : PORT HURON
State : MI
Zip : 48060-5137
Country : US
Telephone Number : 810-363-0079
Fax Number :
Provider Business Practice Location Address
First Line : 8032 LAKESHORE RD
Second Line :
City : LEXINGTON
State : MI
Zip : 48450-9719
Country : US
Telephone Number : 810-201-4987
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2023
Last Update Date : 11/13/2023

Similar Medicare Providers

1275467086 — NICHOLAS AVERY HAUXWELL
Practice Location Address:
8032 LAKESHORE RD
LEXINGTON, MI
48450-9719
Practice Phone: 810-358-9925
Practice Fax: 810-358-9925
1669032892 — KEVIN KNOERZER
Practice Location Address:
8032 LAKESHORE RD
LEXINGTON, MI
48450-9719
Practice Phone: 810-201-4987
Practice Fax:
1891310579 — PIECE BY PIECE AUTISM THERAPY P.L.C.
Practice Location Address:
8032 LAKESHORE RD
LEXINGTON, MI
48450-9719
Practice Phone: 810-201-4987
Practice Fax:
1992388433 — KIELEE GRINNELL-HOUGHTALING
Practice Location Address:
8032 LAKESHORE RD
LEXINGTON, MI
48450-9719
Practice Phone: 810-201-1783
Practice Fax:
1275315236 — MS. FELICIA MARY COOPER
Practice Location Address:
8032 LAKESHORE RD
LEXINGTON, MI
48450-9719
Practice Phone: 810-201-4987
Practice Fax:
1902671845 — MCKENZIE RENEE WOODRUFF
Practice Location Address:
8032 LAKESHORE RD
LEXINGTON, MI
48450-9719
Practice Phone: 810-201-4987
Practice Fax:

Directions to “ KELLY DUVALL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.