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NPI Code Detail

MEDICARE: DR. STEVEN JOE KIN D.O.

MEDICARE:  DR. STEVEN JOE KIN  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
1207YX0602XOtolaryngic Allergy PhysicianSK010029MI
2207YS0123XFacial Plastic Surgery PhysicianSK010029MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
138-3440894OTHERMIFEDERAL TAX ID FOR CORP.
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427037282
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN JOE KIN D.O.
Provider Business Mailing Address
First Line : 2300 HAGGERTY ROAD
Second Line : STE 2130
City : WEST BLOOMFIELD
State : MI
Zip : 48323-2191
Country : US
Telephone Number : 248-668-1104
Fax Number : 248-668-1096
Provider Business Practice Location Address
First Line : 2300 HAGGERTY RD STE 2130
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48323-2191
Country : US
Telephone Number : 248-668-1104
Fax Number : 248-686-1096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 02/06/2019

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Directions to “ DR. STEVEN JOE KIN D.O.” Practice Location

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