Provider Demographics
NPI:1639922214
Name:ARMSTRONG, KEMIEJO ANN (CNA)
Entity Type:Individual
Prefix:
First Name:KEMIEJO
Middle Name:ANN
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 E BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:KAWKAWLIN
Mailing Address - State:MI
Mailing Address - Zip Code:48631-9100
Mailing Address - Country:US
Mailing Address - Phone:989-225-8050
Mailing Address - Fax:
Practice Address - Street 1:400 WEXFORD AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-5681
Practice Address - Country:US
Practice Address - Phone:989-631-9570
Practice Address - Fax:989-631-9316
Is Sole Proprietor?:No
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI236731370794376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide