Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Debra Linda-Jackman Kalis, PA-C

Individual provider Physician Assistant · NPI 1396138251

Debra Linda-Jackman Kalis, PA-C is a Physician Assistant in Southfield, Michigan. Qualified in 2014, 12 years ago. Practices with Henry Ford Health Providence Hospital, a 350-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

16001 W 9 Mile Rd # 3
Southfield, MI 48075-4818
Phone: (248) 849-2600
Fax: (248) 849-2610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2799 W Grand Blvd, Detroit, MI 48202-2608 — (313) 916-2698

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601007311 (MI)

Record details

NPI number1396138251
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 16, 2015
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Henry Ford Health Providence Hospital — 350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Southfield