| Kcc Health Promotion Services Llc | |
|
1821 Maple Park Dr W Canton MI 48188-4829 | |
| (313) 969-8975 | |
| Not Available |
| Full Name | Kcc Health Promotion Services Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1821 Maple Park Dr W, Canton, Michigan |
| Authorized Official Name and Position | Leigha J Ford (OWNER) |
| Authorized Official Contact | 3139698975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kcc Health Promotion Services Llc 1821 Maple Park Dr W Canton MI 48188-4829 Ph: (313) 969-8975 | Kcc Health Promotion Services Llc 1821 Maple Park Dr W Canton MI 48188-4829 Ph: (313) 969-8975 |
| NPI Number | 1265834949 |
|---|---|
| Provider Enumeration Date | 09/24/2014 |
| Last Update Date | 09/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265834949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4704244847 (Michigan) | Primary |
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