Individual
KELSEY LYNN KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5340 PLYMOUTH RD, ANN ARBOR, MI 48105-9341
(734) 462-3210
(734) 369-6084
Mailing address
4803 GLORIA ST, WAYNE, MI 48184-2265
(810) 691-8096
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361007970
MI
Other
Enumeration date
01/27/2022
Last updated
01/09/2024
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