Individual
MRS. KAITLYN MARIE MAHAFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 10TH AVE, PORT HURON, MI 48060-3406
(810) 662-3505
Mailing address
1210 10TH AVE, PORT HURON, MI 48060-3406
(810) 662-3505
(810) 662-3479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704360402
MI
363LF0000X
Family Nurse Practitioner
Primary
4704360402
MI
Other
Enumeration date
01/22/2024
Last updated
01/22/2026
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