Provider Demographics
NPI:1184853632
Name:PALM, KAI KINYELL (MD)
Entity Type:Individual
Prefix:DR
First Name:KAI
Middle Name:KINYELL
Last Name:PALM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:559 W GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48216-2200
Mailing Address - Country:US
Mailing Address - Phone:313-554-0485
Mailing Address - Fax:313-228-0283
Practice Address - Street 1:17625 JOY RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228-1999
Practice Address - Country:US
Practice Address - Phone:313-446-8800
Practice Address - Fax:313-446-8810
Is Sole Proprietor?:No
Enumeration Date:2009-07-06
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301094326207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine