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MRS. NATALIE MARIE KENNAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 874-8323
Mailing address
21520 CHUBB RD, NORTHVILLE, MI 48167-9716
(248) 345-7985

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704287750
MI

Other

Enumeration date
02/19/2018
Last updated
02/19/2018
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