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

Khalilah Edmondson

Individual provider Licensed Practical Nurse · NPI 1245723212

Khalilah Edmondson is a Licensed Practical Nurse in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

13930 Forrer St
Detroit, MI 48227-1741
Phone: (248) 716-4035
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703106296 (MI)

Record details

NPI number1245723212
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 13, 2018
Last updated in NPPESJune 13, 2018

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