Provider Demographics
NPI:1629437603
Name:ENGLISH, KAYLEN
Entity Type:Individual
Prefix:MS
First Name:KAYLEN
Middle Name:
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3027 BEAUJARDIN DR APT 14-308
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-8252
Mailing Address - Country:US
Mailing Address - Phone:734-377-2492
Mailing Address - Fax:
Practice Address - Street 1:3027 BEAUJARDIN DR APT 14-308
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-8252
Practice Address - Country:US
Practice Address - Phone:734-377-2492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-18
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner