IndividualActive
Kenosha Witherspoon, B.S.
NPI 1366860637 · Early Intervention Provider Agency · Detroit, MI
Provider details
- NPI number
- 1366860637
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Credential
- B.S.
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
9365 E Outer Dr
Detroit, MI 48213-1507
Phone: (313) 695-5416
Approximate (ZIP-level) locationGet directions
Mailing address
9365 E Outer Dr
Detroit, MI 48213-1507
Registry dates
- Enumerated
- 2014-04-02
- Last updated
- 2014-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.