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Contact Information

KANDIS K RIVERS, MD
HENRY FORD HEALTH SYSTEM
2799 WEST GRAND BOULEVARD
DETROIT, MI48202
 Phone: 313-916-2436
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for KANDIS K RIVERS · (Female)

NPI Number 1114087988
Status Active
Credentials MD
Entity Individual
Enumeration date 12/11/2006
Last updated 10/28/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301062412
  • SC License # 95438
  • MI Medicaid 424080010
  • Other 340H264460 BLUE CROSS-BLUE CROSS
  • Other KR062412 CHAMPUS-CHAMPUS
  • Other KR062412 COMMERCIAL-COMMERCIAL NUMBER
Hospital affiliation(s)
  • HENRY FORD HOSPITAL - (Acute Care)
    2799 W GRAND BLVD
    DETROIT, MI 48202
  • HENRY FORD WEST BLOOMFIELD HOSPITAL - (Acute Care)
    6777 WEST MAPLE ROAD
    W BLOOMFIELD, MI 48322
  • HENRY FORD WYANDOTTE HOSPITAL - (Acute Care)
    2333 BIDDLE AVE
    WYANDOTTE, MI 48192
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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