Kinarri Marie-Nichole Anderson
Individual provider Active NPI Case Manager/Care Coordinator · Southgate, MI
NPI 1891570784 · NPPES record last updated Aug 29, 2023
Key facts
- NPI
- 1891570784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 14799 Dix Toledo Rd
Southgate, MI 48195-2507 - Phone
- (313) 870-8727
- NPI assigned
- Aug 29, 2023
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
14799 Dix Toledo Rd
Southgate, MI 48195-2507
Mailing address
14799 Dix Toledo Rd
Southgate, MI 48195-2507
Other providers in Southgate, MI
- Laurie Ames-Verbick
- Ladan Amini-Oroumi
- Stephanie Amoako
- Jerry Jay Anderson Jr.
- Jonathan Anderson
- Sheushea Anderson
- Timo Edward Anderson
- Cristina Andrade
- Kristina Ashley Andreski
- Hailey Diane Andrews
All providers in Southgate, MI · Case Manager/Care Coordinator in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2023. 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.