Kamryn Blair Abraskin

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI 1871436634 · NPPES record last updated Apr 14, 2026

Key facts

NPI
1871436634
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone
(313) 916-2600
NPI assigned
Apr 14, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260515002580 MI Order and Referring Only - Dermatology
Practitioner - Dermatology
8729557046

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Mailing address

2799 W Grand Blvd
Detroit, MI 48202-2608

Other providers in Detroit, MI

All providers in Detroit, MI · Student in an Organized Health Care Education/Training Program in Michigan

Sources for this page

Verify at the official NPI Registry.