Healthcare Provider Details

I. General information

NPI: 1780270140
Provider Name (Legal Business Name): KALLI SAYLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2020
Last Update Date: 12/18/2020
Certification Date: 12/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 POWELL DR
DUNDEE MI
48131-8644
US

IV. Provider business mailing address

9541 YANKEE RD
BLISSFIELD MI
49228-9754
US

V. Phone/Fax

Practice location:
  • Phone: 517-266-1481
  • Fax:
Mailing address:
  • Phone: 419-343-2082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number4704296371
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: