KATHY KISE

CANTON, MI
NPI1568515377
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: MI  4704168768)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MI  4704168768)
Enumeration Date2007-01-18
Last Update Date2018-03-17
Business Address
KATHY KISE CNM
49650 CHERRY HILL RD STE 220
CANTON, MI 48187-4860
Phone number: 734-398-7888
Mailing Address
KATHY KISE CNM
PO BOX 446
ANN ARBOR, MI 48106-0446
Phone number: 734-747-6766
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