Individual
KATHLEEN REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
926 WASHINGTON AVE, HOLLAND, MI 49423-7725
(616) 820-3780
(616) 820-3785
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
(616) 455-5960
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301059199
MI
2084P0800X
Psychiatry Physician
KR059199
MI
Other
Enumeration date
07/17/2006
Last updated
03/05/2024
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