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Organization

CARELINE PIN100 LLC

Active
Other names
Optimal Care Physician Services, Careline Physician Services
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS MAXIMILLIAN KIELHORN (OWNER)
(517) 212-9000
Entity
Organization

Contact information

Practice address
600 E CARMEL DR STE 144, CARMEL, IN 46032-3053
(517) 212-2008
Mailing address
801 ROSEHILL RD, JACKSON, MI 49202-1762
(517) 212-2006

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
09/15/2021
Last updated
10/06/2025
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