| Kmc Inc | |
|
24455 Goddard Rd Taylor MI 48180-3933 | |
| (734) 946-8186 | |
| (734) 946-4849 |
| Full Name | Kmc Inc |
|---|---|
| Speciality | General Practice |
| Location | 24455 Goddard Rd, Taylor, Michigan |
| Authorized Official Name and Position | Kimberly Knapp (MANAGER) |
| Authorized Official Contact | 7349468186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kmc Inc 24455 Goddard Rd Taylor MI 48180-3933 Ph: (734) 946-8186 | Kmc Inc 24455 Goddard Rd Taylor MI 48180-3933 Ph: (734) 946-8186 |
| NPI Number | 1407003965 |
|---|---|
| Provider Enumeration Date | 08/26/2008 |
| Last Update Date | 03/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407003965 | NPI | - | NPPES |
| 110H240910 | Other | MI | BCBSM PIN |
| 1158218090 | Other | MI | BCBSM |
| DK002533 | Other | MI | BCBSM LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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