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

Individual provider Certified Registered Nurse Anesthetist · NPI 1407009335

Kevin J Southway, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Mount Clemens, Michigan. Qualified in 2008, 18 years ago. Practices with Henry Ford Health Macomb Oakland Hospital, a 146-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
18
Licensed in
MI
In the registry since
2008
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone: (586) 493-8747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704244110 (MI)

Record details

NPI number1407009335
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 23, 2008
Last updated in NPPESOctober 23, 2008

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Henry Ford Health Macomb Oakland Hospital — 146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Mount Clemens