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Dr. Kevin Michael Moran, DPM
Foot & Ankle Surgery Podiatrist in Lansing, Michigan
NPI 1619020906

Kevin Michael Moran is a Foot & Ankle Surgery Podiatrist based in Lansing, MI and is specialized in Foot & Ankle Surgery. Kevin Michael Moran practices in Lansing, MI and has the professional credentials of DPM. The NPI Number for Kevin Michael Moran is 1619020906 and holds a License No. 5901001163 (Michigan).

The current practice location address for Kevin Michael Moran is 3802 W Kalamazoo St, Lansing, MI and can be reached out via phone at 517-485-7300.

Location: 3802 W Kalamazoo St, Lansing, MI, 48917-3653
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619020906
Provider Name
Kevin Michael Moran
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
3802 W Kalamazoo St, Lansing, MI, 48917-3653
Phone Number
517-485-7300
Fax Number
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1881660 05 MI
4852310350 01 MI BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
3802 W Kalamazoo St
City
Lansing
State
Michigan
Zip
48917-3653
Phone Number
517-485-7300
Fax Number
person
Provider Business Mailing Address Details
Address
3802 W Kalamazoo St
City
Lansing
State
Michigan
Zip
48917-3653
Phone Number
517-485-7300
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
5901001163 (Michigan)
Definition
Definition to come...
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