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Individual

KATELYN KORTAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
1402 W 14 MILE RD, CLAWSON, MI 48017-1499
(248) 435-7314
Mailing address
805 E ELZA AVE, HAZEL PARK, MI 48030-2286

Taxonomy

Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
4704359733
MI

Other

Enumeration date
01/13/2021
Last updated
01/13/2021
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