Active NPI
K&K Assisted
- Adult Mental Health Clinic/Center
- Detroit, MI
National Provider Identifier
1649354606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- K&K ASSISTED
- Practice address
- 12060 Indiana St
Detroit, MI 48204-1084 - Phone
- (313) 931-3600
- Fax
- (313) 933-3603
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Milton Lewis Kennedy
- Title
- Administrator/Owner
- Phone
- (313) 931-3600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
12060 Indiana St
Detroit, MI 48204-1084
Mailing address
PO Box 27560
Detroit, MI 48227-0560
Phone (313) 931-3600
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1649354606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27560",
"city": "DETROIT",
"state": "MI",
"postal_code": "482270560",
"telephone_number": "313-931-3600",
"fax_number": "313-933-3603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12060 INDIANA ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482041084",
"telephone_number": "313-931-3600",
"fax_number": "313-933-3603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K&K ASSISTED",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "MILTON",
"authorized_official_middle_name": "LEWIS",
"authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
"authorized_official_telephone_number": "313-931-3600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.