Search › Michigan › 163W00000X
Kyra Shively
NPI 1295249415 · on the registry since 2017 · sole proprietor
Practice
- Address
- 3205 Supply Rd
Traverse City, MI 49696 - Phone
- (231) 935-1070
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 164W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-01
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