Individual
MS. MARY KATHERINE KLEPADLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3338 FARNSWORTH ST, DETROIT, MI 48211-3024
(313) 924-9123
Mailing address
3338 FARNSWORTH ST, DETROIT, MI 48211-3024
(313) 924-9123
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704185649
MI
163WH0200X
Home Health Registered Nurse
4704185649
MI
174H00000X
Health Educator
4704185649
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704185649
MI
364SA2200X
Adult Health Clinical Nurse Specialist
4704185649
MI
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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