MEDICARE: MACKENZIE KIEDROWSKI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	7101009067	MI

General Provider Information

NPI Number	:	1902750821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MACKENZIE KIEDROWSKI

Provider Business Mailing Address
First Line	:	48721 DENTON RD APT 33
Second Line	:
City	:	VAN BUREN TOWNSHIP
State	:	MI
Zip	:	48111-3217
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3948 RANCHERO DR STE 100
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48108-2775
Country	:	US
Telephone Number	:	734-834-9748
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	02/26/2026

Similar Medicare Providers

1518184753 — KATHY ANN GAINES P.T.
Practice Location Address:

2775 BOARDWALK ST
ANN ARBOR, MI
48104-6713

Practice Phone: 734-994-2303
Practice Fax:

1508424813 — DALE ROBERT FLANAGIN II DDS
Practice Location Address:

2715 PACKARD ST STE B
ANN ARBOR, MI
48108-3365

Practice Phone: 734-956-0654
Practice Fax:

1316708134 — MARIE-HELENE BOUDREAU KURZNER PA
Practice Location Address:

900 VICTORS WAY STE 100
ANN ARBOR, MI
48108-2705

Practice Phone: 734-926-4800
Practice Fax:

1649775479 — DR. LAYTH EMAD DAHBOUR MD
Practice Location Address:

325 E EISENHOWER PKWY STE 310
ANN ARBOR, MI
48108-3307

Practice Phone: 734-647-9983
Practice Fax:

1578351615 — LORNA OLIVIA BOWLES
Practice Location Address:

3200 E EISENHOWER PKWY
ANN ARBOR, MI
48108-3231

Practice Phone: 734-677-0070
Practice Fax: 734-677-0809

1679426605 — DIVINE MERCY LLC
Practice Location Address:

2169 GLENCOE HILLS DR
ANN ARBOR, MI
48108-1288

Practice Phone: 734-680-7034
Practice Fax:

Directions to “ MACKENZIE KIEDROWSKI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.