| Kathy Kise, CNM | |
|
49650 Cherry Hill Rd Ste 220, Canton, MI 48187-4860 | |
| (734) 398-7888 | |
| (734) 398-7885 |
| Full Name | Kathy Kise |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 33 Years |
| Location | 49650 Cherry Hill Rd Ste 220, Canton, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568515377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704168768 (Michigan) | Secondary |
| 367A00000X | Advanced Practice Midwife | 4704168768 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Mercy Hospital | Ann arbor, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iha Health Services Corporation | 2466351440 | 1033 |
| Entity Name | Iha Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Kise, CNM Po Box 446, Ann Arbor, MI 48106-0446 Ph: (734) 747-6766 | Kathy Kise, CNM 49650 Cherry Hill Rd Ste 220, Canton, MI 48187-4860 Ph: (734) 398-7888 |
Kathryn Petrowski Bedikian, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1051 N Canton Center Rd, Canton, MI 48187 Phone: 734-844-5400 | |
Kathryn Jean Kern, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 49650 Cherry Hill Rd Ste 220, Canton, MI 48187 Phone: 734-398-7888 Fax: 734-398-7885 |