Raedeane Kenway

NPI 1336648393 · on the registry since 2018

Practice

Address: 8542 Holly Rd
Grand Blanc, MI 48439
Phone: (810) 603-7887
Fax: (810) 720-1306
Organisation at this address: Ebrahim Schmitt Pllc
Great Lakes Family Dental Group - Grand Blanc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Dental Hygienist
124Q00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-02-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan