Individual
KATHLEEN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
36475 5 MILE RD, LIVONIA, MI 48154-1971
(734) 655-2022
Mailing address
2006 HOGBACK RD STE 5A, ANN ARBOR, MI 48105-9750
(734) 263-2400
(734) 773-3471
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704136003
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104198986
—
MA
Enumeration date
07/05/2006
Last updated
06/22/2021
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