Most Relevant Information
Provider Data
| NPI Number: | 1003266842 |
| Provider Name: | KENISHA KALKA |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 4703108836 |
Most Important Dates
| Enumeration Date: | 06/13/2016 |
| Last Updated: | 06/13/2016 |
Provider Practice Location
24320 KINSEL ST
SOUTHFIELD
MI
480332919
Practice Location Phone/Fax
| Phone: | 2484970509 |
| Fax: |
Provider Mailing Location
24320 KINSEL ST
SOUTHFIELD
MI
480332919
Provider Mailing Phone/Fax
| Phone: | 2484970509 |
| Fax: |