Provider Demographics
NPI:1376667451
Name:BREMMEYR, KYLE JOHN (MSW)
Entity Type:Individual
Prefix:MR
First Name:KYLE
Middle Name:JOHN
Last Name:BREMMEYR
Suffix:
Gender:M
Credentials:MSW
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Mailing Address - Street 1:11933 15 MILE RD
Mailing Address - Street 2:APT. 2A
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-5162
Mailing Address - Country:US
Mailing Address - Phone:586-264-2714
Mailing Address - Fax:
Practice Address - Street 1:2710 12 MILE RD
Practice Address - Street 2:
Practice Address - City:BERKLEY
Practice Address - State:MI
Practice Address - Zip Code:48072-1630
Practice Address - Country:US
Practice Address - Phone:248-543-1090
Practice Address - Fax:248-543-0017
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)