Individual
KALEY KINNAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
042.0018733
VT
2084N0400X
Neurology Physician
4301511912
MI
2084S0010X
Sports Medicine (Psychiatry & Neurology) Physician
4301511912
MI
Other
Enumeration date
03/24/2020
Last updated
07/02/2025
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