Individual
KAI BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
17330 NORTHLAND PARK CT STE 100, SOUTHFIELD, MI 48075-4319
(248) 392-2286
(248) 809-9074
Mailing address
19091 WILTSHIRE BLVD, LATHRUP VILLAGE, MI 48076-2513
(404) 449-9499
(248) 809-9074
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704239724
MI
363LP0200X
Pediatric Nurse Practitioner
RN226809
GA
Other
Enumeration date
12/04/2012
Last updated
03/17/2018
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