SearchMichigan376K00000X

Kadejah Coon

NPI 1841042751 · on the registry since 2024 · sole proprietor

Practice

Address
5260 Ivanhoe St
Detroit, MI 48204
Phone
(313) 407-2088
Organisation at this address
Five Star Medical Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
376K00000X
376K00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan