Individual
KATHLEEN GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-1846
(313) 745-9922
Mailing address
3990 JOHN R ST, 2 HUDSON ROOM 2920, DETROIT, MI 48201-2018
(313) 745-1846
(313) 745-9922
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704144705
MI
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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