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JEREMY KALLENBACH MD
NPI 1891775730
Family Medicine in Southfield, MI

Active since January 18, 2006
24681 NORTHWESTERN HWY, STE. 100, SOUTHFIELD, MI 48075(248) 352-2000(248) 324-1477 Get Directions Write a Review

NPPES record last updated: September 5, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeremy Kallenbach Md NPPES

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

JEREMY KALLENBACH MD (NPI 1891775730) is an individual family medicine provider in Southfield, Michigan, licensed in Michigan (4301063038) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1891775730
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJEREMY KALLENBACHCredential: MD
Location Address24681 NORTHWESTERN HWY, STE. 100Southfield, MI 48075-2305
Mailing Address24681 Northwestern Hwy, Ste. 100Southfield, MI 48075-2305 · (248) 352-2000 · Fax (248) 324-1477
Phone(248) 352-2000
Fax(248) 324-1477
Sole ProprietorNo
Enumeration DateJanuary 18, 2006
Last NPPES UpdateSeptember 5, 2007
✔ NPI 1891775730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301063038
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
24681 NORTHWESTERN HWY, Southfield, MI 48075
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Other Identifiers 2

Medicaid4403817MI
Medicare UPINF84427MI

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.

LYDIA CROWELL
Behavior Technician
24681 NORTHWESTERN HWY
SOUTHFIELD, MI 48075
Oakland County (248) 231-3731
MARY TOWNS
Behavior Technician
24681 NORTHWESTERN HWY
SOUTHFIELD, MI 48075
Oakland County (248) 860-3490
HALEY POSGATE
Behavior Technician
24681 NORTHWESTERN HWY
SOUTHFIELD, MI 48075
Oakland County (248) 579-3119
QUICK RESPONSE MEDICAL PROFESSIONALS, P.C.
Family Medicine
24681 NORTHWESTERN HWY, 403
SOUTHFIELD, MI 48075
Oakland County (248) 208-0037
JASPAL KAUR
Physical Therapist
24681 NORTHWESTERN HWY, SUT 103
SOUTHFIELD, MI 48075
Oakland County (248) 809-9360
ASHLYN MATHEWSON
Behavior Technician
24681 NORTHWESTERN HWY
SOUTHFIELD, MI 48075
Oakland County (248) 860-3490
ROSEANNA NASH
Behavior Technician
24681 NORTHWESTERN HWY
SOUTHFIELD, MI 48075
Oakland County (248) 231-3731
BRITTANY VANDERHOEF
Behavior Technician
24681 NORTHWESTERN HWY
SOUTHFIELD, MI 48075
Oakland County (248) 860-3490

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 Jeremy Kallenbach's NPI number?

The NPI number for Jeremy Kallenbach is 1891775730. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Jeremy Kallenbach located?

Jeremy Kallenbach practices at 24681 Northwestern Hwy Ste. 100, Southfield, MI 48075. The listed phone number is (248) 352-2000.

What is Jeremy Kallenbach's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jeremy Kallenbach was last updated on September 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.