Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenton Kyle Maki

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205172038

Kenton Kyle Maki is a Student in an Organized Health Care Education/Training Program in Roseville, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012

Practice location Address checks out

27850 Gratiot Ave
Roseville, MI 48066-4803
Phone: (586) 772-5876
Fax: (586) 772-5876
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MI)

Record details

NPI number1205172038
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 26, 2012
Last updated in NPPESDecember 26, 2012
Mailing address27850 Gratiot Ave, Roseville, MI 48066-4803

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