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Kurt Davey

Physician β€’ Canton, MI

Deactivated NPI 1275069502 Deactivated in NPPES Male Practitioner
Practice location in NPPES

43419 W Arbor Way Dr, Unit 190
Canton, MI 481884809

Phone: 2489914259

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of January 09, 2025; the reason is not published. The records below are historical. They do not show whether Kurt Davey currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date May 05, 2017
NPI Deactivation Date January 09, 2025
NPI Active Period 2017 – 2025

Practice Location & Contact Primary Location

Practice Address

43419 W Arbor Way Dr
Unit 190

Canton, MI 481884809

Telephone 2489914259

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Canton and Michigan

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Substance Abuse Rehabilitation Facility Primary Specialty

NUCC Taxonomy Code: 324500000X

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated January 09, 2025

NPPES lists this NPI as deactivated as of January 09, 2025; the reason is not published.

βœ…
NPI Profile Active May 05, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 05, 2017

Registered at 43419 W ARBOR WAY DR, UNIT 190, CANTON, MI 481884809 (Tel: 2489914259)

πŸ“
Business Mailing Address (Initial Record) May 05, 2017

Registered at 43419 W ARBOR WAY DR, UNIT 190, CANTON, MI 481884809 (Tel: 2489914259)

πŸ‘€
Provider Name / Credentials (Initial Record) May 05, 2017

Recorded as KURT DAVEY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2017

Substance Abuse Rehabilitation Facility

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Initial NPI Registration & Enumeration May 05, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1275069502
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2017
Last Update: May 05, 2017
Deactivation Date: January 09, 2025

Mailing Address

43419 W Arbor Way Dr, Unit 190

Canton, MI 481884809

Phone: 2489914259

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.