Kiernan Mark Dean-Hall

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

2015366 Issued in MI

Practice address

1 Old Homestead Rd
Glen Arbor, MI 49636-9720

Phone

(269) 993-1472

NPI assigned

Aug 1, 2026

Last updated

Aug 1, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1790608289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OLD HOMESTEAD RD",
            "city": "GLEN ARBOR",
            "state": "MI",
            "postal_code": "496369720",
            "telephone_number": "269-993-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OLD HOMESTEAD RD",
            "city": "GLEN ARBOR",
            "state": "MI",
            "postal_code": "496369720",
            "telephone_number": "269-993-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN-HALL",
        "first_name": "KIERNAN",
        "middle_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-01",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MI",
            "license": "2015366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cundiff, PT
• Mark Cundiff, PT
• Enhanced Physical Therapy Incorporated
• Heather Marie Ford, LMSW
• Keith Alan Gaede, R.PH.
• Glen Arbor Township (Glen Lake Fire Department)
• Charles J Kinzel, PHARMACIST

• Basic Emergency Medical Technician in Glen Arbor, MI
• Providers in Glen Arbor, MI by specialty
• Basic Emergency Medical Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.