Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Gadulka, MS, PA-C

Individual provider Physician Assistant · NPI 1083181671

Kimberly Gadulka, MS, PA-C is a Physician Assistant in Southfield, Michigan. Qualified in 2021, 5 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2018
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

18161 W 13 Mile Rd Ste E1
Southfield, MI 48076-1113
Phone: (248) 642-8989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 — (313) 473-6899

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010757 (MI)
Physician Assistant Taxonomy 363A00000X
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 7101000951 (MI)

Record details

NPI number1083181671
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , PA-C
Sole proprietorNo
NPI enumeratedNovember 1, 2018
Last updated in NPPESJuly 22, 2022
Certification dateJuly 22, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Southfield