# AFFILIATED KNEE PAIN SPECIALISTS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NU LIFE MEDICAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154075042
- **Authorized official:** STEVE Z KALLABAT (OWNER)
- **Authorized official phone:** (248) 331-1700

## Contact information

- **Practice address:** 8565 N SILVERY LN STE 402, DEARBORN HEIGHTS, MI 48127-4518
- **Practice address phone:** (313) 512-7111
- **Mailing address:** 31333 SOUTHFIELD RD STE 103, BEVERLY HILLS, MI 48025-5473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/09/2022
- **Last updated:** 01/24/2023