Individual
MS. KENYA MARIE BARKSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 48025-2454
(248) 712-4266
Mailing address
4040 GREEN ISLE WAY APT 4, SAGINAW, MI 48603-1408
(313) 574-3938
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/22/2016
Last updated
12/10/2019
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