OrganizationKmc IncGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address24455 Goddard Rd, Taylor, MI 48180-3933(734) 946-8186PECOS EnrollmentBased on the most recent information from CMS, provider Kmc Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1407003965Provider TypeOrganizationFull NameKmc IncSubpartNoEnumeration Date8/26/2008Last Updated3/9/2009Contact InformationPractice LocationPractice Address24455 Goddard Rd, Taylor, MI 48180-3933Phone(734) 946-8186Fax(734) 946-4849Mailing LocationMailing Address24455 Goddard Rd, Taylor, MI 48180-3933Phone(734) 946-8186Fax(734) 946-4849Authorized OfficialNameKnapp, Kimberly (Manager)Phone(734) 946-8186Provider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID110H240910DescriptionOtherIssuerBCBSM PINMichiganID1158218090DescriptionOtherIssuerBCBSMMichiganIDDK002533DescriptionOtherIssuerBCBSM LICENSEMichigan