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

Mikayla Katherine Fellman

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972374619

Mikayla Katherine Fellman is a Student in an Organized Health Care Education/Training Program in Southfield, Michigan. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

17320 W 12 Mile Rd
Southfield, MI 48076-2100
Phone: (248) 727-3456
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1972374619
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 11, 2024
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024

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