Individual
KYLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC.
Contact information
Practice address
2045 ASHER CT STE 100, EAST LANSING, MI 48823-8444
(517) 351-9240
(517) 351-9242
Mailing address
2045 ASHER CT STE 100, EAST LANSING, MI 48823-8444
(517) 351-9240
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
5402000200
MI
Other
Enumeration date
12/13/2019
Last updated
01/25/2024
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