Healthcare Provider Details

I. General information

NPI: 1568326510
Provider Name (Legal Business Name): KAINA SAOKHO
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 W LOVELL ST
KALAMAZOO MI
49007-4509
US

IV. Provider business mailing address

812 W LOVELL ST
KALAMAZOO MI
49007-4509
US

V. Phone/Fax

Practice location:
  • Phone: 269-366-4417
  • Fax:
Mailing address:
  • Phone: 269-366-4417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number251B00000X
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: