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General NPI Number Information
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NPI Number | 1982535050
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Entity Type | Individual
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Provider Name | KIYA KHIRY MCCLENDON
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Gender | Female
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Dates
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Enumeration Date | 05/27/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 31300 NORTHWESTERN HWY STE A
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-5407
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Country | US
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Telephone | 248-254-3318
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Fax |
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Provider Business Mailing Address
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Address Line | 6725 W CENTRAL AVE STE M
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City | TOLEDO
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State | OH
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Zip | 43617-1154
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Country | US
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Telephone | 419-764-1200
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 4704376335
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License Number State | MI
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