Healthcare Provider Details

I. General information

NPI: 1649106733
Provider Name (Legal Business Name): KALI SPOMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 W CHISHOLM ST
ALPENA MI
49707-1401
US

IV. Provider business mailing address

9085 CATHRO RD
ALPENA MI
49707-9719
US

V. Phone/Fax

Practice location:
  • Phone: 989-356-7000
  • Fax:
Mailing address:
  • Phone: 989-464-1815
  • Fax: 989-464-1815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101009965
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: