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Contact Information

KAB MI ENTERPRISES LLC
2111 UNIVERSITY PARK DR STE 400
OKEMOS, MI48864-6907
 Phone: 517-917-4035
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health, Adult

364SP0809X 89 Certified Clinical Nurse Specialist
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KAB MI ENTERPRISES LLC

NPI # 1215437967
LBN Legal business name KAB MI ENTERPRISES LLC
Authorized official MARY BETH HOUPT - (CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 02/20/2018
Last updated 06/03/2025 - More than a year ago
Identifiers
MI License # 4704294815
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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