KDL Group of Michigan LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KDL GROUP OF MICHIGAN LLC

Practice address

21411 Civic Center Dr Ste 109
Southfield, MI 48076-3949

Phone

(248) 943-3268

NPI assigned

May 12, 2014

Organization subpart

No

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

Authorized official

Name

Kendall Lesure, LLMSW

Title

Chief Executive Officer

Phone

(248) 943-3268

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1740691815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21411 CIVIC CENTER DR STE 109",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763949",
            "telephone_number": "248-943-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21411 CIVIC CENTER DR STE 109",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480763949",
            "telephone_number": "248-943-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDL GROUP OF MICHIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "LESURE",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "248-943-3268",
        "authorized_official_credential": "LLMSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prabhjot Kaur, RPT
• Janice Kay
• Ida Kaylor
• Joshua Kazdan, D.P.M.
• KCS Community Services Inc
• Zeinab Keblawi
• Jamie Keck
• Margaret Suzanne Keehl, RN, MSN, FNP-BC
• Heather Rose Keillor
• Keith a. Johnstone M.D., P.C.

• Community/Behavioral Health Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.