person
Kenton Kyle Maki
Student in an Organized Health Care Education/Training Program in Roseville, Michigan
NPI 1205172038

Kenton Kyle Maki is a Student in an Organized Health Care Education/Training Program based in Roseville, MI. Kenton Kyle Maki practices in Roseville, MI. The NPI Number for Kenton Kyle Maki is 1205172038 and holds a License No. (Michigan).

The current practice location address for Kenton Kyle Maki is 27850 Gratiot Ave, Roseville, MI and can be reached out via phone at 586-772-5876 and via fax at 586-772-5876.

Location: 27850 Gratiot Ave, Roseville, MI, 48066-4803
person
Provider Profile Details
NPI Number
1205172038
Provider Name
Kenton Kyle Maki
Credential
Provider Entity Type
Individual
Gender
Male
Address
27850 Gratiot Ave, Roseville, MI, 48066-4803
Phone Number
586-772-5876
Fax Number
586-772-5876
Provider Enumeration Date
12/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
27850 Gratiot Ave
City
State
Zip
48066-4803
Phone Number
586-772-5876
Fax Number
586-772-5876
person
Provider Business Mailing Address Details
Address
27850 Gratiot Ave
City
State
Zip
48066-4803
Phone Number
586-772-5876
Fax Number
586-772-5876
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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