Individual
DR. KATHERINE KELLY HANSUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2221 HEALTH DR SW, WYOMING, MI 49519-9700
(616) 532-5025
(616) 301-1915
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101015657
MI
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
5101015657
MI
Other
Enumeration date
05/02/2007
Last updated
12/01/2017
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