MEDICARE: KARUNA MONROE KINDFIELD

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	175T00000X	Peer Specialist		MI

General Provider Information

NPI Number	:	1205778024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARUNA MONROE KINDFIELD

Provider Business Mailing Address
First Line	:	22150 W 9 MILE RD
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48033-6007
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	22150 W 9 MILE RD
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48033-6007
Country	:	US
Telephone Number	:	248-372-5062
Fax Number	:

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

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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Directions to “ KARUNA MONROE KINDFIELD ” Practice Location

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