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Individual

KATHLEEN MARIE MICHELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
190 CREEK RD, POUGHKEEPSIE, NY 12601-1246
(845) 473-4178
Mailing address
190 CREEK RD, POUGHKEEPSIE, NY 12601-1246
(845) 473-4178

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
281573-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01257285
NY
Enumeration date
01/28/2007
Last updated
07/09/2007
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