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Contact Information

KATHY KISE, CNM
49650 CHERRY HILL RD STE 220
CANTON, MI48187-4860
 Phone: 734-398-7888
 Fax: 734-398-7885
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KATHY KISE · (Female)

NPI Number 1568515377
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 01/18/2007
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704168768
Hospital affiliation(s)
  • ST JOSEPH MERCY HOSPITAL - (Acute Care)
    5301 E HURON RIVER DR
    ANN ARBOR, MI 48106
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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