Individual provider · Type 1 NPI

Annaliese Grace Khemmoro

Physician Assistant · Ferndale, MI

NPI number 1548076268 Active

Practice location

911 E 9 Mile Rd
Ferndale, MI 48220-1934

Call (248) 336-4000 Map

Fax (248) 336-9137

Mailing address

18000 W 9 Mile Rd Ste 200
Southfield, MI 48075-4020

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601012844 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1548076268

Annaliese Grace Khemmoro's National Provider Identifier is 1548076268, issued on Dec 6, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Ferndale, MI. The record was last updated on Dec 16, 2025.