Healthcare Provider Details

I. General information

NPI: 1669938601
Provider Name (Legal Business Name): EMILY KIRKEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2019
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date: 12/20/2023
Reactivation Date: 01/23/2024

III. Provider practice location address

704 OAK ST STE 100
CADILLAC MI
49601-2386
US

IV. Provider business mailing address

1398 GRAYS LN
KINGSLEY MI
49649-9380
US

V. Phone/Fax

Practice location:
  • Phone: 231-876-7443
  • Fax:
Mailing address:
  • Phone: 231-640-0894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: