Individual
MRS. KATHRYN A SNOW-MCCAFFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN MSN GNP
Contact information
Practice address
7268 CAMPBELL TRL, INDIAN RIVER, MI 49749-9221
(231) 420-3887
(231) 526-2212
Mailing address
7268 CAMPBELL TRL, INDIAN RIVER, MI 49749-9221
(231) 420-3887
(231) 526-2212
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
KS097301
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104942358
—
MI
05
—
1487625174
—
MI
01
—
5008769310
BCBS
MI
01
—
P00356871
RAILROAD MEDICARE
MI
Enumeration date
01/30/2006
Last updated
05/30/2019
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