NPI 1306990767

Kevin J Damico, CNMTAARTN

Practitioner Nuclear Medicine Technology Radiologic Technologist Plymouth, MI

Practice location

Address: 983 Wing St, Plymouth, MI 48170-1725
Phone: (734) 414-7056
Fax: (734) 414-9925

Registered specialties

Nuclear Medicine Technology Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471N0900X Licence 007988 & 193875 (MI)

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Registry record

NPI: 1306990767
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.