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KANCC MEDICAL PLC NPI 1437710563


NPI Information

NPI: 1437710563
Provider Name: KANCC MEDICAL PLC

Doing Business As: KANCC MEDICAL

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
17331 MACK AVE
DETROIT, MI
ZIP 48224
Phone: (313) 473-8525
Get Directions

KANCC MEDICAL PLC is a general practice in Detroit, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee KANCC MEDICAL PLC NPI is 1437710563. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kancc Medical.

The provider's business location address is:

17331 MACK AVE
DETROIT, MI
ZIP 48224-250
Phone: (313) 473-8525
Fax: (313) 473-8521

The provider's authorized official is Peter R Nwoke .
The authorized official title is Owner and has the following contact phone number (313) 473-8525.

The enumeration date for this NPI number is 6/28/2019 and was last updated on 7/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2208600000XSurgeryNo
3261QP2300XClinic/CenterPrimary CareNo
4208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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