1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Licensed Practical Nurse
  6. NPI Profile

KHALILAH EDMONDSON
NPI 1245723212
Licensed Practical Nurse in Detroit, MI

Active since June 13, 2018
13930 FORRER ST, DETROIT, MI 48227(248) 716-4035 Get Directions Write a Review

NPPES record last updated: June 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Khalilah Edmondson NPPES

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

KHALILAH EDMONDSON (NPI 1245723212) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703106296) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1245723212
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKHALILAH EDMONDSON
Location Address13930 FORRER STDetroit, MI 48227-1741
Mailing Address20110 Cherrylawn StDetroit, MI 48221-1105 · (313) 409-0469
Phone(248) 716-4035
Sole ProprietorYes
Enumeration DateJune 13, 2018
✔ NPI 1245723212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703106296
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
13930 FORRER ST, Detroit, MI 48227
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khalilah Edmondson's NPI number?

The NPI number for Khalilah Edmondson is 1245723212. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Where is Khalilah Edmondson located?

Khalilah Edmondson practices at 13930 Forrer St, Detroit, MI 48227. The listed phone number is (248) 716-4035.

What is Khalilah Edmondson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Khalilah Edmondson was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.