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Darasowan Kiecker

NPI 1457821597 · on the registry since 2018

Practice

Address
41800 W 11 Mile Rd Ste 109
Novi, MI 48375
Phone
(248) 660-1220
Fax
(248) 282-5044
Organisation at this address
Theoria Medical
Luminary Hospice Of Michigan, Llc
Complexcare Medical Group Kansas H Llc
Complexcare Medical Group Kansas M Llc
Ellie Mental Health Live Authentic Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
49

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-27

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