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NPI Code Detail

MEDICARE: KAMAREYANA PACE

MEDICARE:   KAMAREYANA  PACE
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1225997679
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMAREYANA PACE
Provider Business Mailing Address
First Line : 401 BURROUGHS AVE
Second Line :
City : FLINT
State : MI
Zip : 48507-2710
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 401 BURROUGHS AVE
Second Line :
City : FLINT
State : MI
Zip : 48507-2710
Country : US
Telephone Number : 810-522-3761
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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Directions to “ KAMAREYANA PACE ” Practice Location

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