Dr. Kevin A Agrest, DO
Family Medicine in Warren, MI. Individual provider (NPI-1).
NPI number1386625606
StatusActive
Last updated in NPPESAug 16, 2012
Details
- NPI
- 1386625606
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kevin A Agrest
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2005
- Last updated
- Aug 16, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 5101014983 | MI | Yes |
Practice location
21647 Ryan RdWarren, MI 48091-2795
Phone 586-757-4200 · Fax 586-757-8332
Mailing address
21647 Ryan RdWarren, MI 48091-2795
Phone 586-757-4200 · Fax 586-757-8332
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