Healthcare Provider Details

I. General information

NPI: 1700749538
Provider Name (Legal Business Name): WELLMETRY HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69111 N FOREST AVE
RICHMOND MI
48062-1521
US

IV. Provider business mailing address

69111 N FOREST AVE
RICHMOND MI
48062-1521
US

V. Phone/Fax

Practice location:
  • Phone: 586-625-2798
  • Fax: 405-592-8374
Mailing address:
  • Phone: 586-625-2798
  • Fax: 405-592-8374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. KASANDRA LEE WYLIN
Title or Position: OWNER/OPERATOR
Credential: NP
Phone: 586-625-2798