Provider Demographics
NPI:1952001497
Name:HOWZE, KEVIN A SR
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:A
Last Name:HOWZE
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4518 BEWICK ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48214-1581
Mailing Address - Country:US
Mailing Address - Phone:313-978-4775
Mailing Address - Fax:
Practice Address - Street 1:4518 BEWICK ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48214-1581
Practice Address - Country:US
Practice Address - Phone:313-978-4775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst