Provider Demographics
NPI:1669938601
Name:KIRKEY, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:KIRKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1398 GRAYS LN
Mailing Address - Street 2:
Mailing Address - City:KINGSLEY
Mailing Address - State:MI
Mailing Address - Zip Code:49649-9380
Mailing Address - Country:US
Mailing Address - Phone:231-640-0894
Mailing Address - Fax:
Practice Address - Street 1:5943 STADIUM DR
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-3016
Practice Address - Country:US
Practice Address - Phone:269-389-9102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-14
Last Update Date:2024-02-01
Deactivation Date:2023-12-20
Deactivation Code:
Reactivation Date:2024-01-23
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician