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Kaniel Revis
NPI 1134574486 · on the registry since 2016
Practice
- Address
- 8755 Carter Rd Apt 34
Freeland, MI 48623 - Phone
- (989) 213-2903
Registry record
- Primary taxonomy
- Other Technician
247200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan