Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin DO, DO

Individual provider Family Medicine Physician · NPI 1750777066

Dr. Kevin DO, DO is a Family Practice in Lake Orion, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2010, 16 years ago. Practices with Iha Ooma Primary LLC, a 44-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Oregon.

Years since qualifying
16
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI, OR
In the registry since
2015
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Partly verified

Some contact details are missing from the federal record.

Iha Lake Orion Primary Care 1375 S Lapeer Rd Ste 210
Lake Orion, MI 48360
Phone: (248) 693-5700
Fax: (248) 693-5715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 831 Nw Council Dr Ste 101, Gresham, OR 97030-3722 — (503) 665-8176

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101021949 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence DO194421 (OR)

Record details

NPI number1750777066
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 13, 2015
Last updated in NPPESNovember 4, 2022
Certification dateNovember 4, 2022
Mailing address24 Frank Lloyd Wright Drive, Suite J2000, Ann Arbor, MI 48105

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2010 (16 years in practice)
Group practice Iha Ooma Primary Llc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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