Individual
KIELON LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8600 WOODWARD AVE, DETROIT, MI 48202-2142
(313) 875-7601
Mailing address
526 WATSON ST, DETROIT, MI 48201-2818
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6852093884
MI
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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