Individual
KIMBERLIE KOEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14455 WILSHIRE DR, DETROIT, MI 48213
(313) 808-9323
Mailing address
14433 WILSHIRE DR, DETROIT, MI 48213-1940
(313) 414-1952
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MI
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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