MEDICARE: KELSEY MARIE RAINES PA

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
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1821760497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY MARIE RAINES PA

Provider Business Mailing Address
First Line	:	159 KERCHEVAL AVE
Second Line	:
City	:	GROSSE POINTE FARMS
State	:	MI
Zip	:	48236-3610
Country	:	US
Telephone Number	:	313-640-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	15200 GRATIOT AVE
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48205-1327
Country	:	US
Telephone Number	:	313-924-8495
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2021
Last Update Date	:	07/04/2025

Similar Medicare Providers

1396253696 — PARK MED PHARMACY LLC
Practice Location Address:

15200 GRATIOT AVE
DETROIT, MI
48205-1327

Practice Phone: 313-521-4000
Practice Fax: 313-521-4010

1326690363 — JEFFREY LIPSMAN PA-C
Practice Location Address:

15200 GRATIOT AVE
DETROIT, MI
48205-1327

Practice Phone: 313-924-8495
Practice Fax:

1609471135 — GBOGBARA INC
Practice Location Address:

15200 GRATIOT AVE
DETROIT, MI
48205-1327

Practice Phone: 313-821-4449
Practice Fax: 313-332-0317

1629934500 — KADY COX
Practice Location Address:

18650 LANCASHIRE ST
DETROIT, MI
48223-1327

Practice Phone: 310-869-1661
Practice Fax:

1427907070 — TRUSTED TOUCH HOME HELP, LLC
Practice Location Address:

17386 DRESDEN ST
DETROIT, MI
48205-3136

Practice Phone: 586-362-1663
Practice Fax:

1699926113 — BCA OF DETROIT, LLC
Practice Location Address:

15000 GRATIOT AVE
DETROIT, MI
48205-1973

Practice Phone: 313-245-0600
Practice Fax: 313-245-0650

Directions to “ KELSEY MARIE RAINES PA” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.