Lavonne Kalabat Kasmikha, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601004019 Issued in MI

Practice address

3800 Automation Ave
Auburn Hills, MI 48326-1781

Phone

(248) 754-0426

Fax

(248) 754-0478

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1326107434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 LONGMEADOW RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043656",
            "telephone_number": "248-310-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 AUTOMATION AVE",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483261781",
            "telephone_number": "248-754-0426",
            "fax_number": "248-754-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASMIKHA",
        "first_name": "LAVONNE",
        "middle_name": "KALABAT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Renee Kabodian, RN
• Kristine Elizabeth Kaip, BSN
• Bailey Kalfs
• Timothy George Kanan, RPH
• Bianca Elizabeth Karpiak
• Jessica L Keenan, LLBSW
• Helena Kelly, LMSW
• Margaret E Kelly, LMSW
• Anna Marie Keltsch
• Dominique Marie Kennard

• Physician Assistant in Auburn Hills, MI
• Providers in Auburn Hills, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.