KIERNAN MARK DEAN-HALL NPI 1790608289

NPI Information

  • NPI: 1790608289
  • Provider Name: KIERNAN MARK DEAN-HALL
  • Classification: Emergency Medical Technician, Basic - 146N00000X
  • Entity Type: Individual
  • Address: 1 OLD HOMESTEAD RD
    GLEN ARBOR, MI
    ZIP 49636
  • Phone: (269) 993-1472

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NPI Details

Kiernan Mark Dean-hall is an emergency medical technician basic in Glen Arbor, MI. The provider is a Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. Kiernan Mark Dean-hall NPI is 1790608289. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 OLD HOMESTEAD RD
GLEN ARBOR, MI
ZIP 49636-720
Phone: (269) 993-1472

The enumeration date for this NPI number is 8/1/2026 and was last updated on 8/1/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1146N00000XEmergency Medical Technician, Basic2015366MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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