| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KALEIGH NORMA MENDER | 1083231849 | 2020-06-28 |
Kaleigh Norma Mender is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1083231849. Registration indicates Kaleigh Norma Mender is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Kaleigh Norma Mender |
| Practice Office Address | 1030 N MONROE ST MONROE, MI US |
| Practice Office Telephone | 7346823309 |
| Mailing Address | 3658 RANCHERO DR ANN ARBOR, MI 481085200 US |
| Business Telephone | 3156573342 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 18707 Ecorse Rd | Allen Park, MI 481012255 | 7346823309 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 5601010029
MI |