Kendall Ann Stortz

Individual provider Active NPI Other Technician · Goodrich, MI

NPI 1376097766 · NPPES record last updated Aug 15, 2016

Key facts

NPI
1376097766
Entity type
Individual (NPI type 1)
Primary specialty
Other Technician 247200000X
Practice address
5748 Lakeview Blvd
Goodrich, MI 48438-9642
Phone
(248) 709-5391
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Yes

Addresses

Primary practice location

5748 Lakeview Blvd
Goodrich, MI 48438-9642

Mailing address

5748 Lakeview Blvd
Goodrich, MI 48438-9642
Phone (248) 709-5391

Other names

  • Miss Kendall Ann Aliber Former name

Other providers in Goodrich, MI

All providers in Goodrich, MI · Other Technician in Michigan

Sources for this page

Verify at the official NPI Registry.