Individual
KAHLEE C KENWABIKISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
631 S VANDERMEULEN RD, LAKE CITY, MI 49651-9367
(231) 878-0120
Mailing address
631 S VANDERMEULEN RD, LAKE CITY, MI 49651-9367
(231) 878-0120
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
AS570417807
MI
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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