Shively, Kyra Monique

Shively, Kyra Monique is an sole proprietor health care provider with primary practice located at 3205 Supply Rd , Traverse City MI 49696-9486. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Shively, Kyra Monique can be contacted via phone (231) 935-1070.

Contact Information

Primary practice address
3205 Supply Rd Traverse City MI 49696-9486
Phone: (231) 935-1070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704339826 Michigan
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4703119005 Michigan

Profile Details

NPI number 1295249415
LBN Legal business name Shively, Kyra Monique
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2017
Last updated Oct 1st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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