Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaylen Bourdage

Individual provider Peer Specialist · NPI 1811732001

Kaylen Bourdage is a Peer Specialist in Southgate, Michigan. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

13101 Allen Rd
Southgate, MI 48195-2216
Phone: (734) 785-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1811732001
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 28, 2024
Last updated in NPPESJune 28, 2024
Certification dateJune 27, 2024
Mailing address13101 Allen Rd, Southgate, MI 48195-2216

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