Organization
K&K ASSISTED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILTON LEWIS KENNEDY (ADMINISTRATOR/OWNER)
(313) 931-3600
Entity
Organization
Contact information
Practice address
12060 INDIANA ST, DETROIT, MI 48204-1084
(313) 931-3600
(313) 933-3603
Mailing address
PO BOX 27560, DETROIT, MI 48227-0560
(313) 931-3600
(313) 933-3603
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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