Provider Demographics
NPI:1972138378
Name:DURKIN-KUREK, KELLY MARIE (MS, DIHOM, CHHC)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:MARIE
Last Name:DURKIN-KUREK
Suffix:
Gender:F
Credentials:MS, DIHOM, CHHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51424 VAN DYKE AVE STE 22
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-4409
Mailing Address - Country:US
Mailing Address - Phone:586-477-7618
Mailing Address - Fax:
Practice Address - Street 1:51424 VAN DYKE AVE STE 22
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-4409
Practice Address - Country:US
Practice Address - Phone:586-477-7618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI19880012175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175L00000XOther Service ProvidersHomeopathGroup - Single Specialty