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NPI Code Detail

MEDICARE: KAI PAUL

MEDICARE: KAI PAUL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered Nurse4704312761MI
2163W00000XRegistered Nurse4704312761MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14704312761OTHERMIREGISTERED NURSE LICENSE

General Provider Information

NPI Number : 1134791171
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAI PAUL
Provider Business Mailing Address
First Line : 6309 MACK AVE
Second Line :
City : DETROIT
State : MI
Zip : 48207-2302
Country : US
Telephone Number : 313-921-4700
Fax Number :
Provider Business Practice Location Address
First Line : 6309 MACK AVE
Second Line :
City : DETROIT
State : MI
Zip : 48207-2302
Country : US
Telephone Number : 313-921-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2021
Last Update Date : 05/04/2026

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Directions to “ KAI PAUL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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