Individual provider · Type 1 NPI

Kaylon Laverne Lewis

Student in an Organized Health Care Education/Training Program · Clinton Township, MI

NPI number 1962332304 Active

Practice location

19612 Opal St
Clinton Township, MI 48035-4817

Call (248) 629-0121 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1962332304

Kaylon Laverne Lewis's National Provider Identifier is 1962332304, issued on May 19, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Clinton Township, MI. The record was last updated on May 19, 2026.