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Individual
KIMBERLY S KEESSEN
Active
Individual
KIMBERLY S KEESSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000193
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64-0F10164
BCBSM
MI
Enumeration date
11/15/2006
Last updated
07/31/2013
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