Organization
KAITLYN PSCODNA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN PSCODNA RDN, LDN (OWNER)
(612) 405-4251
Entity
Organization
Contact information
Practice address
7052 ABRAHAMSON RD, LUDINGTON, MI 49431-8800
(612) 405-4251
Mailing address
7052 ABRAHAMSON RD, LUDINGTON, MI 49431-8800
(612) 405-4251
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2023
Last updated
12/19/2024
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