# KATHERINE B. KRIVE, DO, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346705035
- **Authorized official:** KATHERINE B KRIVE DO (OWNER)
- **Authorized official phone:** (517) 282-0771

## Contact information

- **Practice address:** 801 S WAVERLY RD STE 303, LANSING, MI 48917-4200
- **Practice address phone:** (517) 282-0771
- **Practice address fax:** (612) 500-4648
- **Mailing address:** 1612 W SHIAWASSEE ST, LANSING, MI 48915-1271
- **Mailing address phone:** (517) 282-0771
- **Mailing address fax:** (844) 395-8841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2019
- **Last updated:** 03/02/2022
