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Individual

KATHLEEN MALLENDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
4201 W MICHIGAN AVE, KALAMAZOO, MI 49006-5810
(269) 372-1200
Mailing address
28708 BLACKSTONE DR, LATHRUP VILLAGE, MI 48076-2616
(519) 903-7950

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704161907
MI

Other

Enumeration date
04/04/2017
Last updated
04/04/2017
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