Individual
MRS. KATHLEEN ROSEMARIE BENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
33101 ANNAPOLIS ST STE B, WAYNE, MI 48184-2405
(734) 721-0200
(734) 721-2008
Mailing address
24575 HALLEY CRESCENT DR, GROSSE ILE, MI 48138-1616
(734) 676-2794
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
4704110454
MI
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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