Kathleen Mallender, CNM | |
4201 W Michigan Ave, Kalamazoo, MI 49006-5810 | |
(269) 372-1200 | |
Not Available |
Full Name | Kathleen Mallender |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 4201 W Michigan Ave, Kalamazoo, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245763648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 4704161907 (Michigan) | Primary |
Entity Name | Moca Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780695635 PECOS PAC ID: 3476570177 Enrollment ID: O20051101000999 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Mallender, CNM 28708 Blackstone Dr, Lathrup Village, MI 48076-2616 Ph: (519) 903-7950 | Kathleen Mallender, CNM 4201 W Michigan Ave, Kalamazoo, MI 49006-5810 Ph: (269) 372-1200 |
Jane E Woodward, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2854 S 11th St, Kalamazoo, MI 49009 Phone: 269-345-6197 | |
Lily Michelle Hershberger, MSN, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 601 John St Ste N1200, Kalamazoo, MI 49007 Phone: 269-341-7979 | |
Karen Small, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 601 John Street, Suite N1200, Kalamazoo, MI 49007 Phone: 269-341-7979 Fax: 269-341-6261 | |
Ruth A. Tatara, CNM, MSN Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Suite N-1200, Kalamazoo, MI 49007 Phone: 269-341-7979 Fax: 269-341-6261 | |
Lori Kur, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 601 John St Ste N1200, Kalamazoo, MI 49007 Phone: 269-341-7979 | |
Ms. Joan K. Slager, C.N.M. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3681 S 26th St, Kalamazoo, MI 49048 Phone: 269-341-7875 | |
Mrs. Stacy Marie Dalrymple, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1535 Gull Rd Ste 250, Kalamazoo, MI 49048 Phone: 269-226-5927 |