Kingsley Peacock
Occupational Therapist in Detroit, MI. Individual provider (NPI-1).
NPI number1326469552
StatusActive
Last updated in NPPESDec 13, 2013
Details
- NPI
- 1326469552
- Entity type
- Individual (NPI-1)
- Name
- Kingsley Peacock
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2013
- Last updated
- Dec 13, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 5201007865 | MI | Yes |
Practice location
882 Oakman BlvdDetroit, MI 48238-3710
Phone 313-961-7990
Mailing address
1313 Yorktown StGrosse Pointe Woods, MI 48236-1033
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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