NPI 1104569235

Kaiya Coleman

Practitioner Nursing Home Administrator Detroit, MI

Practice location

Address: 2679 Hogarth St, Detroit, MI 48206-2528
Phone: (313) 844-1547

Registered specialties

Nursing Home Administrator Primary

Nursing Service Related Providers Taxonomy 376G00000X

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Registry record

NPI: 1104569235
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Apr 2022
Record last updated: 17 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.