Individual
KAMI KEDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80650 VAN DYKE RD, BRUCE TWP, MI 48065-1333
(810) 798-6470
Mailing address
80650 VAN DYKE RD, BRUCE TWP, MI 48065-1333
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001404
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382947657
—
MI
Enumeration date
08/27/2018
Last updated
04/13/2021
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