Individual
EVAN KLEIKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 N HOOPER ST, KINGSFORD, MI 49802-5406
(906) 776-9003
Mailing address
505 N HOOPER ST, KINGSFORD, MI 49802-5406
(906) 776-9003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501019239
MI
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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