DR. KEVIN MICHAEL MORAN DPM NPI 1619020906

NPI Information

NPI: 1619020906
Provider Name: DR. KEVIN MICHAEL MORAN, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Address:
3802 W KALAMAZOO ST
LANSING, MI
ZIP 48917
Phone: (517) 485-7300
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DR. Kevin Michael Moran, DPM is a foot and ankle surgery podiatrist in Lansing, MI. DR. Kevin Michael Moran, DPM NPI is 1619020906. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3802 W KALAMAZOO ST
LANSING, MI
ZIP 48917-653
Phone: (517) 485-7300

The enumeration date for this NPI number is 1/19/2007 and was last updated on 7/8/2007.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	5901001163	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00920002	MEDICARE ID-TYPE UNSPECIFIED
2	T34341	MEDICARE UPIN
3	1881660	MEDICAID	MICHIGAN
4	4852310350	OTHER	MICHIGAN	BLUE CROSS

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: 4/28/2024

NPI Synchronization or Removal

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