KANCC MEDICAL P.L.C. NPI 1437710563

NPI Information

NPI: 1437710563
Provider Name: KANCC MEDICAL P.L.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
17331 MACK AVE
DETROIT, MI
ZIP 48224
Phone: (313) 264-1907
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KANCC MEDICAL P.L.C. is a primary care clinic center in Detroit, MI. KANCC MEDICAL P.L.C. NPI is 1437710563. The provider is registered as an organization entity type.

The provider's business location address is:

17331 MACK AVE
DETROIT, MI
ZIP 48224-250
Phone: (313) 264-1907

The provider's authorized official is Peter Nwoke .
The authorized official title is Manager and has the following contact phone number (313) 264-1907.

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

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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: 11/14/2023

NPI Synchronization or Removal

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