Individual
MRS. AMY MICHELLE MCKOUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3100 CROSS CREEK PKWY, AUBURN HILLS, MI 48326-2774
(248) 377-8000
Mailing address
15121 WESTERN VALLEY DR, HOLLY, MI 48442-1912
(248) 634-8636
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
ATC
MI
Enumeration date
05/25/2007
Last updated
07/08/2007
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