Kidus Kebede Abadi
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Flint, MI
NPI 1497616593 · NPPES record last updated Jan 7, 2026
Key facts
- NPI
- 1497616593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- License
- 4351055505 (MI)
- Practice address
- 1 Hurley PLZ
Flint, MI 48503-5902 - Phone
- (810) 262-9000
- NPI assigned
- Nov 19, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4351055505 | MI | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4351055505 | MI | Yes |
Addresses
Primary practice location
1 Hurley PLZ
Flint, MI 48503-5902
Mailing address
4910 Woodland Blvd
Oxon Hill, MD 20745-3746
Phone (717) 331-9837
Other providers in Flint, MI
- A.Banerjee, M.D. & Don M. Rubino, M.D. PC
- A.F.C. Home Care, Inc.
- A.J. Clinic PLLC
- A1 Family Dentistry of Flint,PLC
- Aarthi Bawa, DPM PLLC
- Amina Abair
- Mawada Abbaker
- Mark K Abbenante
- Zachary Scott Abbott-Main
- Wafa Afif Abbud
All providers in Flint, MI · Student in an Organized Health Care Education/Training Program in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.