Individual
KATHLEEN SZKUTNICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
15474 N HAGGERTY RD, PLYMOUTH, MI 48170-4893
(888) 220-6432
Mailing address
PO BOX 2356, DEARBORN, MI 48123-2356
(313) 359-9955
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704132309
MI
363LA2200X
Adult Health Nurse Practitioner
4704132309
MI
Other
Enumeration date
04/23/2014
Last updated
08/31/2015
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