Provider Demographics
NPI:1205667763
Name:PALOMAKI, KENDRA MARIE (CNM)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:MARIE
Last Name:PALOMAKI
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:426 VILLAGE GREEN BLVD APT 201
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-3634
Mailing Address - Country:US
Mailing Address - Phone:906-458-5246
Mailing Address - Fax:
Practice Address - Street 1:426 VILLAGE GREEN BLVD APT 201
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-3634
Practice Address - Country:US
Practice Address - Phone:906-458-5246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704352934367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife