Individual
KATHY KISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
49650 CHERRY HILL RD STE 220, CANTON, MI 48187-4860
(734) 398-7888
(734) 398-7885
Mailing address
PO BOX 446, ANN ARBOR, MI 48106-0446
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704168768
MI
367A00000X
Advanced Practice Midwife
Primary
4704168768
MI
Other
Enumeration date
01/18/2007
Last updated
03/17/2018
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