Individual
KYLEE R HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43455 W 10 MILE RD, NOVI, MI 48375-3100
(248) 349-2200
(248) 349-2228
Mailing address
43455 W 10 MILE RD, NOVI, MI 48375-3100
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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