KAHLEE C KENWABIKISE
NPI 1073473831
Psychologist - Health Service in Lake City, MI

Active since November 14, 2025
631 S VANDERMEULEN RD, LAKE CITY, MI 49651(231) 878-0120 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kahlee C Kenwabikise NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAHLEE C KENWABIKISE (NPI 1073473831) is an individual health service provider in Lake City, Michigan, licensed in Michigan (AS570417807) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1073473831
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameKAHLEE C KENWABIKISE
Location Address631 S VANDERMEULEN RDLake City, MI 49651-9367
Mailing Address631 S Vandermeulen RdLake City, MI 49651-9367 · (231) 878-0120
Sole ProprietorYes
Enumeration DateNovember 14, 2025
NPPES CertifiedNovember 14, 2025
NPI 1073473831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License Licensed in MI · AS570417807
Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

631 S VANDERMEULEN RD, Lake City, MI 49651

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073473831, enumerated as an "individual" on November 14, 2025.

The provider is located at 631 S VANDERMEULEN RD LAKE CITY, MI 49651 and the phone number is (231) 878-0120.

Psychologist with taxonomy code 103TH0100X and a focus in Health Service.