Bourdage, Kaylen

Bourdage, Kaylen is an sole proprietor health care provider with primary practice located at 13101 Allen Rd , Southgate MI 48195-2216. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Bourdage, Kaylen can be contacted via phone (734) 785-7700.

Contact Information

Primary practice address
13101 Allen Rd Southgate MI 48195-2216
Phone: (734) 785-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1811732001
LBN Legal business name Bourdage, Kaylen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2024
Last updated Jun 28th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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