Individual
KAI PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 921-4700
Mailing address
6309 MACK AVE, DETROIT, MI 48207-2302
(313) 921-4700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704312761
MI
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704312761
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704312761
REGISTERED NURSE LICENSE
MI
Enumeration date
07/10/2021
Last updated
05/04/2026
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