Individual provider Active NPI

Kundwani H Kyer

  • Driver
  • Detroit, MI
National Provider Identifier
1255804258
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
K600481302686 Issued in MI
Practice address
18450 Edinborough Rd
Detroit, MI 48219-2862
Phone
(734) 833-5954
NPI assigned
Jan 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X K600481302686 MI Primary

Addresses

Primary practice location

18450 Edinborough Rd
Detroit, MI 48219-2862

Mailing address

18450 Edinborough Rd
Detroit, MI 48219-2862
Phone (734) 833-5954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
K600481302686MIMDDriver

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1255804258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18450 EDINBOROUGH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482192862",
            "telephone_number": "734-833-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18450 EDINBOROUGH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482192862",
            "telephone_number": "734-833-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KYER",
        "first_name": "KUNDWANI",
        "middle_name": "H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MI",
            "license": "K600481302686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.