Individual
KATHLEEN KRULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
53189 ELYSIA DR, CHESTERFIELD, MI 48051-1767
(586) 315-8845
Mailing address
51194 ROMEO PLANK RD, PMB 444, MACOMB, MI 48042
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001108
MI
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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