Individual
KATHLEEN MICHAELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
2803 SAINT PAUL ST, BALTIMORE, MD 21218-4312
(410) 601-5209
(410) 467-3706
Mailing address
2803 SAINT PAUL ST, BALTIMORE, MD 21218-4312
(410) 467-0225
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R092209
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
454MF878
TRAILBLAZER
MD
Enumeration date
06/28/2005
Last updated
07/08/2007
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