Provider Demographics
NPI:1093315442
Name:FORTE, KAI A (NP)
Entity type:Individual
Prefix:MRS
First Name:KAI
Middle Name:A
Last Name:FORTE
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1897 E BIG BEAVER RD STE 33
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-2007
Mailing Address - Country:US
Mailing Address - Phone:248-505-3953
Mailing Address - Fax:
Practice Address - Street 1:1897 E BIG BEAVER RD STE 33
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-2007
Practice Address - Country:US
Practice Address - Phone:248-505-3953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-27
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704252262363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology