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Search › Michigan › 390200000X

Kaylon Lewis

NPI 1962332304 · on the registry since 2026 · sole proprietor

Practice

Address
19612 Opal St
Clinton Township, MI 48035
Phone
(248) 629-0121
Organisation at this address
Safe Haven Assistance
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-19

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