Individual
KATHRYN CELESTE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 3RD FLOOR CARDIOVASCULAR CENTER RECP C, ANN ARBOR, MI 48109
(888) 287-1082
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704260207
MI
363LP2300X
Primary Care Nurse Practitioner
4704260207
MI
Other
Enumeration date
08/22/2013
Last updated
12/04/2018
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