Individual
MACKENZIE KERNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36475 FIVE MILE RD, LIVONIA, MI 48154-1971
(734) 655-4800
Mailing address
477 BAUMAN AVE, CLAWSON, MI 48017-2103
(228) 313-6020
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000904
MI
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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