Provider Demographics
NPI:1225254477
Name:HAYES, KEVIN JOSEPH (DO)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:JOSEPH
Last Name:HAYES
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:804 SERVICE RD STE A109B
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48824-7015
Mailing Address - Country:US
Mailing Address - Phone:517-884-2976
Mailing Address - Fax:517-432-3928
Practice Address - Street 1:3300 EAGLE RUN DR NE STE 103
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-7069
Practice Address - Country:US
Practice Address - Phone:616-234-2830
Practice Address - Fax:616-234-2829
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2021-06-07
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Provider Licenses
StateLicense IDTaxonomies
MI5101016402204D00000X, 204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM