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Khortnal Delvecchio

NPI 1578989224 · on the registry since 2014 · sole proprietor

Practice

Address
6701 W Outer Dr # M501
Detroit, MI 48235
Phone
(313) 966-1941

Registry record

Primary taxonomy
208600000X
208600000X
Also registered as
390200000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-24

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