Individual
DR. ALYSSA MAE KENISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4328 W MICHIGAN AVE, KALAMAZOO, MI 49006-5823
(269) 375-2222
Mailing address
6809 AMBERLY ST, PORTAGE, MI 49024-3108
(541) 821-1943
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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