Individual
KATHRYN JEAN MIKOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
308 W 15TH ST, HOPKINSVILLE, KY 42240-2038
(270) 660-8866
Mailing address
2634 ORMOND RD, WHITE LAKE, MI 48383-2139
(424) 388-4657
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4004535
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704294787NSA230DC
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4004535
—
KY
Enumeration date
03/03/2022
Last updated
11/03/2023
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