MEDICARE: KENDRA MARIE PALOMAKI CNM

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	367A00000X	Advanced Practice Midwife	APRN.CNM.0019691	OH
2	367A00000X	Advanced Practice Midwife	4704352934	MI

General Provider Information

NPI Number	:	1205667763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDRA MARIE PALOMAKI CNM

Provider Business Mailing Address
First Line	:	6855 SPRING VALLEY DR STE 125
Second Line	:
City	:	HOLLAND
State	:	OH
Zip	:	43528-9374
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6855 SPRING VALLEY DR STE 125
Second Line	:
City	:	HOLLAND
State	:	OH
Zip	:	43528-9374
Country	:	US
Telephone Number	:	419-389-0492
Fax Number	:	419-381-0751

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

Provider Enumeration Date	:	08/08/2024
Last Update Date	:	02/10/2026

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