Individual
KALISTI KATHERINE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
677 E MAIN ST, CENTREVILLE, MI 49032-8524
(269) 467-1001
Mailing address
677 E MAIN ST, CENTREVILLE, MI 49032-8524
(269) 467-1001
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
01/22/2024
Last updated
11/04/2025
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