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

Kevin Livingstone

Individual provider Physician Assistant · NPI 1295510493

Kevin Livingstone is a Physician Assistant in Livonia, Michigan. Qualified in 2023, 3 years ago. Practices with Victor M. Cruz MD, PC, a 29-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

17177 N Laurel Park Dr Ste 131
Livonia, MI 48152-3952
Phone: (734) 462-3210
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (MI)

Record details

NPI number1295510493
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 28, 2023
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Victor M. Cruz Md, P.C. — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Livonia