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Kisha Beverly

NPI 1790624682 · on the registry since 2026 · sole proprietor

Practice

Address
5303 S Cedar St Ste 3
Lansing, MI 48911
Phone
(517) 231-2482
Organisation at this address
County Of Ingham
County Of Ingham
Tri-County Office On Aging
Tri-County Aging Consortium
Michigan Community Care Collaborative
Inferred from a shared address, not stated in the registry.
Clinicians at this address
148

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
104100000X
251B00000X
171400000X
172V00000X
171M00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan