KEVIN LOUIS CISCHKE NP
NPI 1467929927
Nurse Practitioner - Family in Detroit, MI

Q: What is Kevin Cischke's NPI number?

The NPI number for Kevin Cischke is 1467929927. It was assigned to this individual provider in the NPPES registry on November 1, 2018.

Q: What is Kevin Cischke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Cischke was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 01, 2018

4646 JOHN R ST, DETROIT, MI 48201(313) 576-1000 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2022, May 18, 2019, Nov 1, 2018 (3 updates tracked since 2018).

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About Kevin Louis Cischke Np NPPES

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

KEVIN LOUIS CISCHKE NP (NPI 1467929927) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704341344) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1467929927

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameKEVIN LOUIS CISCHKECredential: NP

Location Address4646 JOHN R STDetroit, MI 48201-1916

Mailing Address6145 Hiddenbrook DrToledo, OH 43613-1522 · (734) 755-2728

Phone(313) 576-1000

Sole ProprietorYes

Enumeration DateNovember 1, 2018

Last NPPES UpdateOctober 11, 20223 updates tracked since enumeration

NPPES CertifiedOctober 11, 2022

✔ NPI 1467929927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in MI · 4704341344✔ Licensed in OH · APRN.CNP.023948

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License RN.416348 (OH)

4646 JOHN R ST, Detroit, MI 48201

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Other Identifiers 1

Other4704341344MI · State Of Michigan License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YURIJ CHERSTYLO

Student in an Organized Health Care Education/Training Program