Organization
KIM D. KEMSKE, PSY.D., L.P., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM D. KEMSKE PSY.D., L.P. (PRESIDENT)
(248) 615-1263
Entity
Organization
Contact information
Practice address
24505 MEADOWBROOK RD, NOVI, MI 48375-2845
(248) 615-1263
Mailing address
24505 MEADOWBROOK RD, NOVI, MI 48375-2845
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301013347
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI1405
PTAN
MI
Enumeration date
05/05/2010
Last updated
05/05/2010
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