Individual
DR. KATHLYNN JON STULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2820 NILES RD, SAINT JOSEPH, MI 49085-3355
(269) 429-1982
(269) 556-9615
Mailing address
2820 NILES RD, SAINT JOSEPH, MI 49085-3355
(269) 429-1982
(269) 556-9615
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008480
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950A111370
BLUE CROSS BLUE SHIELD OF
—
01
—
950A111580
BCBSMI
MI
Enumeration date
07/24/2007
Last updated
03/20/2009
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