Delores L Kearse

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

4321 E McNichols Rd
Detroit, MI 48212-1720

Phone

(313) 369-1717

Fax

(313) 369-1728

NPI assigned

Oct 5, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1710437595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 E MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482121720",
            "telephone_number": "313-369-1717",
            "fax_number": "313-369-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 E MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482121720",
            "telephone_number": "313-369-1717",
            "fax_number": "313-369-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARSE",
        "first_name": "DELORES",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KD Pharmacy, Inc.
• Brent Keaner, D.O.
• Michaela Emily Kearney, MD
• Phyllis E Kearney, MA, LLPC
• Katie Marie Kearns
• Vitinna L Keath
• Evelyn Keathley
• Amy Keefe, RPH
• Wilhelmina Keeling, RN
• Maria Antonia Keelon, PHYSICIAN ASSISTANT

• Other Technician in Detroit, MI
• Providers in Detroit, MI by specialty
• Other Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.