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NPI Code Detail

MEDICARE: MCKENNA HARTRANFT

MEDICARE: MCKENNA HARTRANFT
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
1106S00000XBehavior TechnicianMI

General Provider Information

NPI Number : 1407661275
Entity Type Code : Individual
Provider Name (Legal Business Name) : MCKENNA HARTRANFT
Provider Business Mailing Address
First Line : 421 PIONEER TRL
Second Line :
City : CEDAR SPRINGS
State : MI
Zip : 49319-8136
Country : US
Telephone Number : 616-251-8162
Fax Number : 616-327-4660
Provider Business Practice Location Address
First Line : 29566 NORTHWESTERN HWY STE 100
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48034-1036
Country : US
Telephone Number : 248-301-1098
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2025
Last Update Date : 02/02/2026

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Directions to “ MCKENNA HARTRANFT ” Practice Location

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