Kevin Kiesel is a Peer Specialist based in Canton, MI. Kevin Kiesel practices in Canton, MI. The NPI Number for Kevin Kiesel is 1841834983 and holds a License No. (Michigan).
The current practice location address for Kevin Kiesel is 50430 School House Rd, Canton, MI and can be reached out via phone at 734-793-7800.
Location: 50430 School House Rd, Canton, MI, 48187-5910
Provider Profile Details
NPI Number
1841834983
Provider Name
Kevin Kiesel
Credential
Provider Entity Type
Individual
Gender
Male
Address
50430 School House Rd, Canton, MI, 48187-5910
Phone Number
734-793-7800
Fax Number
Provider Enumeration Date
11/01/2019
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 282334 | 05 | MI |
Provider Business Practice Location Address Details
Address
50430 School House Rd
City
State
Zip
48187-5910
Phone Number
734-793-7800
Fax Number
Provider Business Mailing Address Details
Address
50430 School House Rd
City
State
Zip
48187-5910
Phone Number
734-793-7800
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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