Healthcare Provider Details

I. General information

NPI: 1932446721
Provider Name (Legal Business Name): NATIONAL KIDNEY FOUNDATION OF MICHIGAN, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2013
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1169 OAK VALLEY DR
ANN ARBOR MI
48108
US

IV. Provider business mailing address

1169 OAK VALLEY DR
ANN ARBOR MI
48108-9674
US

V. Phone/Fax

Practice location:
  • Phone: 734-222-9800
  • Fax: 734-222-9801
Mailing address:
  • Phone: 734-222-9800
  • Fax: 734-222-9801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: CHARLENE COLE
Title or Position: VICE PRESIDENT
Credential:
Phone: 734-222-9800