Kenton Kyle Maki

NPI #1205172038 in Roseville, Michigan

Provider Information

NPI Number: 1205172038
Entity Type: Individual
Name: Kenton Kyle Maki
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 26, 2012
Last Updated: Dec 26, 2012

Practice Location

Address: 27850 GRATIOT AVE
City: Roseville
State: Michigan
ZIP Code: 48066-4803
Phone: (586) 772-5876

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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