Individual
KATHLEEN M HARTWELL-KING IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
11275 ALLEN RD, SOUTHGATE, MI 48195-3380
(313) 383-7071
(313) 383-7194
Mailing address
5777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-2267
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
470415667
MI
Other
Enumeration date
05/30/2018
Last updated
08/11/2025
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