Provider Demographics
NPI:1871958439
Name:VILMINOT, KAINNON (CP)
Entity type:Individual
Prefix:MR
First Name:KAINNON
Middle Name:
Last Name:VILMINOT
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3469 E GRAND RIVER AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-8504
Mailing Address - Country:US
Mailing Address - Phone:517-295-4250
Mailing Address - Fax:517-295-4276
Practice Address - Street 1:3469 E GRAND RIVER AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-8504
Practice Address - Country:US
Practice Address - Phone:517-295-4250
Practice Address - Fax:517-295-4276
Is Sole Proprietor?:No
Enumeration Date:2015-12-28
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist