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NPI Code Detail

MEDICARE: DR. KEVIN SEMMA OD

MEDICARE:  DR. KEVIN  SEMMA  OD
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
1152W00000XOptometrist4901005043MI

General Provider Information

NPI Number : 1396272555
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN SEMMA OD
Provider Business Mailing Address
First Line : 23342 FARMINGTON RD
Second Line :
City : FARMINGTON
State : MI
Zip : 48336-3102
Country : US
Telephone Number : 248-477-1616
Fax Number :
Provider Business Practice Location Address
First Line : 3683 W MAPLE RD
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48301-3376
Country : US
Telephone Number : 248-246-4466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2017
Last Update Date : 04/21/2022

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Directions to “ DR. KEVIN SEMMA OD” Practice Location

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