Search › Michigan › 175T00000X
Kenyahdal Gatewood, PRC
NPI 1023818192 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1044 W Bristol Rd
Flint, MI 48507 - Phone
- (810) 238-0483
- Organisation at this address
- Drivers Dynamic
Flint Odyssey House Inc.
Flint Odyssey House Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 1116 W Bristol Rd, Flint, MI
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Sex
- Male
- Record last updated
- 2025-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan