Individual
KITTY MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
425 CHERRY ST SE, GRAND RAPIDS, MI 49503-4601
(616) 774-7005
Mailing address
3075 S BROOKS RD, MUSKEGON, MI 49444-3609
(231) 638-0325
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704165584
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KM4704165584
—
MI
Enumeration date
09/25/2006
Last updated
07/08/2007
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