Individual
KENRA D BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2522 LAKEWOOD ST, DETROIT, MI 48215-2655
(313) 428-1495
Mailing address
2522 LAKEWOOD ST, DETROIT, MI 48215-2655
(313) 428-1495
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
900179803
MI
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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