Individual
KENNA MACKENZIE CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5333 MCAULEY DR RM 2110, YPSILANTI, MI 48197-1097
(734) 712-3967
Mailing address
4291 HOMESTEAD DR, HOWELL, MI 48843-9454
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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